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NPI Code Detail

MEDICARE: ACROSS THE SPECTRUM BEHAVIORAL SERVICES INC

MEDICARE: ACROSS THE SPECTRUM BEHAVIORAL SERVICES INC
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
1251S00000XCommunity/Behavioral Health Agency
2103K00000XBehavior Analyst

General Provider Information

NPI Number : 1861041832
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACROSS THE SPECTRUM BEHAVIORAL SERVICES INC
Provider Business Mailing Address
First Line : 150 E PALMETTO PARK RD
Second Line :
City : BOCA RATON
State : FL
Zip : 33432-4827
Country : US
Telephone Number : 305-815-4232
Fax Number :
Provider Business Practice Location Address
First Line : 150 E PALMETTO PARK RD
Second Line :
City : BOCA RATON
State : FL
Zip : 33432-4827
Country : US
Telephone Number : 305-815-4232
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MRS. ARIADNA CUSON
Credential :
Telephone Number : 305-815-4232
Provider Enumeration Date : 09/11/2019
Last Update Date : 09/11/2019

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Directions to “ACROSS THE SPECTRUM BEHAVIORAL SERVICES INC ” Practice Location

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