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NPI Code Detail

MEDICARE: SPECTRUM OF HOPE

MEDICARE: SPECTRUM OF HOPE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1346709961
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPECTRUM OF HOPE
Provider Business Mailing Address
First Line : 172 GRANDVIEW DR
Second Line :
City : HINESVILLE
State : GA
Zip : 31313-2830
Country : US
Telephone Number : 912-415-3144
Fax Number : 866-467-4321
Provider Business Practice Location Address
First Line : 124 W ML KING JR DR
Second Line :
City : HINESVILLE
State : GA
Zip : 31313-3226
Country : US
Telephone Number : 912-415-3144
Fax Number :
Authorized Official
Title or Position : OWNER
Name : CASEY MAJEWSKI
Credential : BCBA
Telephone Number : 912-294-4055
Provider Enumeration Date : 03/13/2019
Last Update Date : 09/04/2024

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Directions to “SPECTRUM OF HOPE ” Practice Location

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