Healthcare Provider Details

I. General information

NPI: 1861041832
Provider Name (Legal Business Name): ACROSS THE SPECTRUM BEHAVIORAL SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2019
Last Update Date: 09/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 E PALMETTO PARK RD
BOCA RATON FL
33432-4827
US

IV. Provider business mailing address

150 E PALMETTO PARK RD
BOCA RATON FL
33432-4827
US

V. Phone/Fax

Practice location:
  • Phone: 305-815-4232
  • Fax:
Mailing address:
  • Phone: 305-815-4232
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. ARIADNA CUSON
Title or Position: PRESIDENT
Credential:
Phone: 305-815-4232