| Spectrum Early Intervention Center LLC | |
|
3010 Johnson Rd Loganville GA 30052-2987 | |
| (202) 445-9042 | |
| Not Available |
| Full Name | Spectrum Early Intervention Center LLC |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3010 Johnson Rd, Loganville, Georgia |
| Authorized Official Name and Position | Jesica Quirindongo (OWNER) |
| Authorized Official Contact | 2024459042 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Early Intervention Center LLC 3010 Johnson Rd Loganville GA 30052-2987 Ph: (202) 445-9042 | Spectrum Early Intervention Center LLC 3010 Johnson Rd Loganville GA 30052-2987 Ph: (202) 445-9042 |
| NPI Number | 1154251916 |
|---|---|
| Provider Enumeration Date | 05/21/2026 |
| Last Update Date | 05/24/2026 |
| Certification Date | 05/24/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154251916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | () | Primary |
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