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Organization
SUCCESS ON THE SPECTRUM PPCC INC
Active
Organization
SUCCESS ON THE SPECTRUM PPCC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE HUPP (MANAGER)
(940) 642-6715
Entity
Organization
Contact information
Practice address
5816 ASHLEYANNE CIR STE 400, WICHITA FALLS, TX 76310-1613
(940) 692-0165
Mailing address
4400 CALL FIELD RD, WICHITA FALLS, TX 76308-2446
(940) 692-0165
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/14/2021
Last updated
08/08/2022
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