| Umbrella Spectrum Llc | |
|
11922 Fairway Lakes Dr Ste 2 Fort Myers FL 33913-8384 | |
| (239) 219-3409 | |
| Not Available |
| Full Name | Umbrella Spectrum Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 11922 Fairway Lakes Dr Ste 2, Fort Myers, Florida |
| Authorized Official Name and Position | Dana Qoraan (OWNER) |
| Authorized Official Contact | 2392193409 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Umbrella Spectrum Llc 17155 Hadlow Pl Fort Myers FL 33967-5330 Ph: (239) 219-3409 | Umbrella Spectrum Llc 11922 Fairway Lakes Dr Ste 2 Fort Myers FL 33913-8384 Ph: (239) 219-3409 |
| NPI Number | 1831774439 |
|---|---|
| Provider Enumeration Date | 03/15/2021 |
| Last Update Date | 02/27/2024 |
| Certification Date | 02/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831774439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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