Organization
SPECTRUM ANALYTIC CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN BUSH (PRACTICE MANAGER)
(678) 974-2162
Entity
Organization
Contact information
Practice address
750 HAMMOND DR NE, BLDG 16 STE 100, ATLANTA, GA 30328-6144
(678) 974-2162
(888) 533-9896
Mailing address
PO BOX 76094, ATLANTA, GA 30358
(678) 974-2162
(888) 533-9896
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
103T00000X
Psychologist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
03/18/2015
Last updated
10/31/2024
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