| Spectrum Behavioral Services, Llc | |
|
51 Fierro Ave Matawan NJ 07747-3038 | |
| (732) 788-5850 | |
| (708) 801-7211 |
| Full Name | Spectrum Behavioral Services, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 51 Fierro Ave, Matawan, New Jersey |
| Authorized Official Name and Position | Kristin Foley (OWNER) |
| Authorized Official Contact | 7327885850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Behavioral Services, Llc 51 Fierro Ave Matawan NJ 07747-3038 Ph: (732) 788-5850 | Spectrum Behavioral Services, Llc 51 Fierro Ave Matawan NJ 07747-3038 Ph: (732) 788-5850 |
| NPI Number | 1316337223 |
|---|---|
| Provider Enumeration Date | 01/29/2015 |
| Last Update Date | 01/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316337223 | NPI | - | NPPES |
| 1508095704 | Other | NJ | NPI AS INDIVIDUAL PRACTIONER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-08-4076 (Washington) | Primary |
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