| NPI | 1770191645 |
|---|---|
| Former Legal Business Name | SPECTRUM HEALTHCARE SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | ERNESTO MOREJON SOSA Behavior Analyst 239-378-0504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2023-09-05 |