| Spectrum Behavioral Consulting Llc | |
|
1109 Fern Ln Suffolk VA 23434-2547 | |
| (757) 535-1723 | |
| (844) 719-9024 |
| Full Name | Spectrum Behavioral Consulting Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1109 Fern Ln, Suffolk, Virginia |
| Authorized Official Name and Position | Melissa Fearn Shepski (PRESIDENT/BCBA) |
| Authorized Official Contact | 7575351723 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Behavioral Consulting Llc 1109 Fern Ln Suffolk VA 23434-2547 Ph: (757) 535-1723 | Spectrum Behavioral Consulting Llc 1109 Fern Ln Suffolk VA 23434-2547 Ph: (757) 535-1723 |
| NPI Number | 1235546417 |
|---|---|
| Provider Enumeration Date | 07/19/2014 |
| Last Update Date | 06/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235546417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 0134000061 (Virginia) | Primary |
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