Provider Demographics
NPI:1225647951
Name:SPECTRUM WARRIORS, INC.
Entity Type:Organization
Organization Name:SPECTRUM WARRIORS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:SANCHEZ-STIERHEIM
Authorized Official - Suffix:
Authorized Official - Credentials:DIR FLOORTIME
Authorized Official - Phone:917-539-2026
Mailing Address - Street 1:200 W 143RD ST APT 18E
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10030-1530
Mailing Address - Country:US
Mailing Address - Phone:917-539-2026
Mailing Address - Fax:
Practice Address - Street 1:263 RILEY RD
Practice Address - Street 2:
Practice Address - City:NEW WINDSOR
Practice Address - State:NY
Practice Address - Zip Code:12553-7272
Practice Address - Country:US
Practice Address - Phone:917-539-2026
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-28
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care
No385HR2050XRespite Care FacilityRespite CareRespite Care Camp
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
Provider Identifiers
StateIdentifier IDID TypeIssuer
AC152425OtherADVANCED AUTISM CERTIFICATE, DIR FLOORTIME PROVIDER, CRISIS MANAGEMENT