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Organization
SPECTRUM OF LOVE
Active
Organization
SPECTRUM OF LOVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEJA E ARD (CEO)
(972) 339-8737
Entity
Organization
Contact information
Practice address
840 GREENVIEW DR, GRAND PRAIRIE, TX 75050-2438
(972) 339-8737
Mailing address
5900 BALCONES DR STE 100, AUSTIN, TX 78731-4298
(972) 339-8737
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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