Spectrum House INC

NPI #1073247664 in Pensacola, Florida

Provider Information

NPI Number: 1073247664
Entity Type: Organization
Organization Name: Spectrum House INC
Subpart: Yes (part of a larger organization)
Parent Organization: SPECTRUM HOUSE INC
Primary Specialty: Behavior Analyst
Enumeration Date: Jul 11, 2022
Last Updated: Jul 11, 2022

Practice Location

Address: 2431 CREIGHTON RD
City: Pensacola
State: Florida
ZIP Code: 32504-7337
Phone: (850) 607-6910

Authorized Official

Name: TYLER RUSSELL STEVERSON
Title: CREDENTIALING MANAGER
Phone: (850) 607-6910

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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