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Contact Information

INTO THE SPECTRUM SERVICES LLC
4340 E INDIAN SCHOOL RD STE 21-194
PHOENIX, AZ85018-5390
 Phone: 602-377-9980
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Developmental Therapist

222Q00000X
Indicates primary specialty

NPI Profile & details for INTO THE SPECTRUM SERVICES LLC

NPI Number 1831676998
LBN Legal business name INTO THE SPECTRUM SERVICES LLC
Authorized official COURTNEY PETERS - (CLINICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/23/2018
Last updated 07/27/2022 - About 4 years ago
Identifiers
AZ Medicaid 1972859841
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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