| Skyward Spectrum Llc | |
|
1429 Brookgreen Dr North Augusta SC 29841-6029 | |
| (706) 434-8188 | |
| (706) 434-8674 |
| Full Name | Skyward Spectrum Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1429 Brookgreen Dr, North Augusta, South Carolina |
| Authorized Official Name and Position | Reece Epstein (OWNER) |
| Authorized Official Contact | 7733123735 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Skyward Spectrum Llc 246 Robert C Daniel Jr Pkwy # 1051 Augusta GA 30909-0803 Ph: (706) 434-8188 | Skyward Spectrum Llc 1429 Brookgreen Dr North Augusta SC 29841-6029 Ph: (706) 434-8188 |
| NPI Number | 1639891963 |
|---|---|
| Provider Enumeration Date | 09/14/2022 |
| Last Update Date | 09/14/2022 |
| Certification Date | 09/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639891963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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