Organization · NPI-2

A Spectrum Of Success INC

Behavior Analyst · Plantation, FL

NPI number1528894094

StatusActive

Last updated in NPPESSep 11, 2024

Details

NPI: 1528894094
Entity type: Organization (NPI-2)
Legal business name: A Spectrum Of Success INC
Organization subpart: No
Enumeration date: Sep 11, 2024
Certification date: Sep 11, 2024
Last updated: Sep 11, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
103K00000X	Behavior Analyst	–	–	Yes
251S00000X	Community/Behavioral Health	–	–
261QH0700X	Clinic/Center, Hearing and Speech	–	–
261QX0100X	Clinic/Center, Occupational Medicine	–	–

Other names

Success On The Spectrum Plantation (Doing Business As)

Practice location

205 Sw 84th Ave
Plantation, FL 33324-2708

Phone 954-382-5570 · Fax 954-250-2529

Mailing address

205 Sw 84th Ave
Plantation, FL 33324-2708

Phone 954-382-5570 · Fax 954-250-2529

Authorized official

Midelkis Serra
President
9543825570

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