Into The Spectrum Services Llc

LBN: Into The Spectrum Services Llc
Into The Spectrum Services Llc is an health care organization with primary practice located at 4340 E Indian School Rd Ste 21-194 , Phoenix AZ 85018-5390. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Behavioral Health & Social Service Providers / Behavioral Analyst is the primary health care specialty. Into The Spectrum Services Llc can be contacted via phone (602) 377-9980, or through Peters, Courtney via phone (602) 377-9980.

Contact Information

Primary practice address
4340 E Indian School Rd Ste 21-194 Phoenix AZ 85018-5390
Phone: (602) 377-9980
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Peters, Courtney MA, BCBA, LBA
Phone: (602) 377-9980

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1831676998
LBN Legal business name Into The Spectrum Services Llc
DBA Doing business as
Authorized official Peters, Courtney MA, BCBA, LBA
Entity Organization
Organization subpart 1 No
Enumeration date Jul 23rd, 2018
Last updated Jul 27th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831676998 NPPES
Arizona MEDICAID 1972859841

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