Organization
A SPECTRUM OF SUCCESS INC
Active
Other names
Success on the Spectrum Plantation
Organization subpart
No
Provider details
NPI number
Authorized official
MIDELKIS SERRA (PRESIDENT)
(954) 382-5570
Entity
Organization
Contact information
Practice address
205 SW 84TH AVE, PLANTATION, FL 33324-2708
(954) 382-5570
(954) 250-2529
Mailing address
205 SW 84TH AVE, PLANTATION, FL 33324-2708
(954) 382-5570
(954) 250-2529
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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