Organization
SPECTRUM THERAPY ASSESSMENT AND REHABILITATION, LLC
Active
Other names
STAR, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA SHILOH-BERGMAN M.A. (OWNER/BEHAVIOR ANALYST)
(949) 322-6316
Entity
Organization
Contact information
Practice address
246 CAROLINIAN DR, SUMMERVILLE, SC 29485-7854
(949) 322-6316
Mailing address
246 CAROLINIAN DR, SUMMERVILLE, SC 29485-7854
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
04/14/2008
Last updated
04/14/2008
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