NPI 1528894094 · live from the CMS NPI Registry
A Spectrum Of Success INC
Behavior Analyst in Plantation, FL. National Provider Identifier 1528894094, active.
NPI record
| NPI | 1528894094 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 205 Sw 84th Ave, Plantation, FL 33324 |
| Practice phone | 954-382-5570 |
| Enumerated | September 11, 2024 |
| Last updated | September 11, 2024 |
| Authorized official | Midelkis Serra, President |
| Other names | Success On The Spectrum Plantation |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
| Community/Behavioral Health | 251S00000X | — |
| Clinic/Center, Hearing and Speech | 261QH0700X | — |
| Clinic/Center, Occupational Medicine | 261QX0100X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.