| Success on the Spectrum | |
|
4216 Sw Stoney Brook Dr Lees Summit MO 64082-4820 | |
| (573) 645-2817 | |
| Not Available |
| Full Name | Success on the Spectrum |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4216 Sw Stoney Brook Dr, Lees Summit, Missouri |
| Authorized Official Name and Position | Amelia Long (CEO) |
| Authorized Official Contact | 5736452817 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Success on the Spectrum 4216 Sw Stoney Brook Dr Lees Summit MO 64082-4820 Ph: (573) 645-2817 | Success on the Spectrum 4216 Sw Stoney Brook Dr Lees Summit MO 64082-4820 Ph: (573) 645-2817 |
| NPI Number | 1164285094 |
|---|---|
| Provider Enumeration Date | 02/02/2024 |
| Last Update Date | 02/02/2024 |
| Certification Date | 02/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164285094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | () | Primary |
| 261QH0700X | Clinic/center - Hearing And Speech | () | Secondary |
| 261QX0100X | Clinic/center - Occupational Medicine | () | Secondary |
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