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NPI Code Detail

MEDICARE: SPECTRUM THERAPY CARE LLC

MEDICARE: SPECTRUM THERAPY CARE LLC
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

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902598212
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPECTRUM THERAPY CARE LLC
Provider Business Mailing Address
First Line : 15605 SW 25TH TER
Second Line :
City : MIAMI
State : FL
Zip : 33185-5773
Country : US
Telephone Number : 305-300-9151
Fax Number : 786-885-2787
Provider Business Practice Location Address
First Line : 7971 RIVIERA BLVD STE 323
Second Line :
City : MIRAMAR
State : FL
Zip : 33023-6448
Country : US
Telephone Number : 954-893-7300
Fax Number : 786-885-2787
Authorized Official
Title or Position : OWNER
Name : MRS. YESENIA GARCIA
Credential :
Telephone Number : 305-300-9151
Provider Enumeration Date : 05/24/2023
Last Update Date : 02/18/2026

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Directions to “SPECTRUM THERAPY CARE LLC ” Practice Location

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