Spectrum Behavioral Services LLC

Behavior Analyst · Mishawaka, IN

Organization Active NPI

NPI number 1548858160

Practice location

418 E Mishawaka Ave
Mishawaka, IN 46545-6820
Phone
(574) 855-3571

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NPI record

NPI
1548858160
Entity type
Organization (Type 2)
Enumeration date
January 8, 2021
Last updated
January 8, 2021
Certified
January 8, 2021
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X — —

Authorized official

Name
Amanda Dorman, BCBA
Title
Owner
Phone
(574) 855-3571

Other names

  • Spectrum Behavioral Services LLC

About Spectrum Behavioral Services LLC

Spectrum Behavioral Services LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 418 E Mishawaka Ave, Mishawaka, IN 46545-6820. The NPI number 1548858160 was assigned on January 8, 2021 and the record was last updated on January 8, 2021.

The authorized official for this organization is Amanda Dorman, BCBA, Owner.

Frequently asked questions

What is the NPI number of Spectrum Behavioral Services LLC?

The NPI number is 1548858160.

What is the phone number of Spectrum Behavioral Services LLC?

The phone number listed for the practice location is (574) 855-3571.

Where is Spectrum Behavioral Services LLC located?

418 E Mishawaka Ave, Mishawaka, IN 46545-6820.

What is the taxonomy code for Spectrum Behavioral Services LLC?

The primary taxonomy code is 103K00000X – Behavior Analyst.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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