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Organization
SPECTRUM BEHAVIORAL SERVICES LLC
Active
Organization
SPECTRUM BEHAVIORAL SERVICES LLC
Active
Other names
Spectrum Behavioral Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA DORMAN BCBA (OWNER)
(574) 855-3571
Entity
Organization
Contact information
Practice address
418 E MISHAWAKA AVE, MISHAWAKA, IN 46545-6820
(574) 855-3571
Mailing address
418 E MISHAWAKA AVE, MISHAWAKA, IN 46545-6820
(574) 855-3571
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/08/2021
Last updated
01/08/2021
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