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Organization
SPECTRUM HOUSE INC.
Active
Organization
SPECTRUM HOUSE INC.
Active
Parent organization
SPECTRUM HOUSE INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPECTRUM HOUSE INC.
Authorized official
TYLER RUSSELL STEVERSON (CREDENTIALING MANAGER)
(850) 607-6910
Entity
Organization
Contact information
Practice address
6479 CAROLINE ST, MILTON, FL 32570-4502
(850) 607-6910
Mailing address
9900 N DAVIS HWY, PENSACOLA, FL 32514-8124
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/21/2022
Last updated
07/21/2022
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