| Spectrum Therapeutic Learning Center, Llc | |
|
2270 Thornton Taylor Pkwy Ste B Fayetteville TN 37334-3669 | |
| (931) 532-0114 | |
| (855) 240-2537 |
| Full Name | Spectrum Therapeutic Learning Center, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2270 Thornton Taylor Pkwy Ste B, Fayetteville, Tennessee |
| Authorized Official Name and Position | Stephanie Elaine Hathcock (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 9315320114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Therapeutic Learning Center, Llc 905 Dogwood Dr Fayetteville TN 37334-2261 Ph: (931) 532-0114 | Spectrum Therapeutic Learning Center, Llc 2270 Thornton Taylor Pkwy Ste B Fayetteville TN 37334-3669 Ph: (931) 532-0114 |
| NPI Number | 1093339814 |
|---|---|
| Provider Enumeration Date | 06/08/2020 |
| Last Update Date | 06/25/2020 |
| Certification Date | 06/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093339814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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