| NPI | 1235608811 |
|---|---|
| Doing Business As | SHORELINE SPECTRUM |
| Entity Type | Organization |
| Authorized Contact | RACHAEL D STOWE Member 203-231-4588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2019-06-03 |