Spectrum House Inc.

NPI #1124753330 in Milton, Florida

Provider Information

NPI Number: 1124753330
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 21, 2022
Last Updated: Jul 21, 2022

Practice Location

Address: 6479 CAROLINE ST
City: Milton
State: Florida
ZIP Code: 32570-4502
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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