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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