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Organization
SPECTRUM BEHAVIORAL SOLUTIONS, LLC
Active
Organization
SPECTRUM BEHAVIORAL SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TARA LOZITO BCBA (MANAGING MEMBER)
(407) 353-5168
Entity
Organization
Contact information
Practice address
345 STONE ISLAND RD, ENTERPRISE, FL 32725-2424
(407) 353-5168
Mailing address
345 STONE ISLAND RD, ENTERPRISE, FL 32725-2424
(407) 353-5168
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-07-3595
—
252Y00000X
Early Intervention Provider Agency
1-07-3595
—
Other
Enumeration date
05/13/2013
Last updated
05/13/2013
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