Organization
INTO THE SPECTRUM SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY PETERS MA, BCBA, LBA (CLINICAL DIRECTOR)
(602) 377-9980
Entity
Organization
Contact information
Practice address
4340 E INDIAN SCHOOL RD STE 21-194, PHOENIX, AZ 85018-5390
(602) 377-9980
Mailing address
4340 E INDIAN SCHOOL RD STE 21-194, PHOENIX, AZ 85018-5390
(602) 377-9980
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
222Q00000X
Developmental Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972859841
—
AZ
Enumeration date
07/23/2018
Last updated
07/27/2022
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