Organization
ABOVE THE SPECTRUM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMBER FOUTS AS (AUTISM SPECIALIST/OWNER)
(316) 640-2851
Entity
Organization
Contact information
Practice address
510 COUNTRY CLUB DR, BELOIT, KS 67420-2667
(316) 640-2851
(785) 738-4812
Mailing address
510 COUNTRY CLUB DR, BELOIT, KS 67420-2667
(316) 640-2851
(785) 738-4812
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659670818
—
KS
Enumeration date
01/03/2019
Last updated
01/03/2019
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