Healthcare Provider Details

I. General information

NPI: 1780507913
Provider Name (Legal Business Name): SPECTRUM OF LIGHT BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

813 DRIFTWOOD DR
HAMPSTEAD NC
28443-7826
US

IV. Provider business mailing address

813 DRIFTWOOD DR
HAMPSTEAD NC
28443-7826
US

V. Phone/Fax

Practice location:
  • Phone: 910-750-9140
  • Fax:
Mailing address:
  • Phone: 910-750-9140
  • 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 Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: MRS. BRITNI RENEE FLOYD
Title or Position: MANAGING MEMBER
Credential: BCBA/LBA
Phone: 910-750-9140