Healthcare Provider Details
I. General information
NPI: 1346926409
Provider Name (Legal Business Name): SPEC RESULTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/23/2023
Last Update Date: 07/08/2024
Certification Date: 07/08/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2800 W CENTRAL AVE STE B
TOLEDO OH
43606-7736
US
IV. Provider business mailing address
2800 W CENTRAL AVE STE B
TOLEDO OH
43606-7736
US
V. Phone/Fax
- Phone: 419-359-2244
- Fax:
- Phone: 419-359-2244
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106S00000X |
| Taxonomy | Behavior Technician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 376J00000X |
| Taxonomy | Homemaker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DREW
K
SCOTT
Title or Position: FOUNDER/CEO
Credential:
Phone: 419-359-2055