Provider Demographics
NPI:1861041832
Name:ACROSS THE SPECTRUM BEHAVIORAL SERVICES INC
Entity Type:Organization
Organization Name:ACROSS THE SPECTRUM BEHAVIORAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ARIADNA
Authorized Official - Middle Name:
Authorized Official - Last Name:CUSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-815-4232
Mailing Address - Street 1:150 E PALMETTO PARK RD
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-4827
Mailing Address - Country:US
Mailing Address - Phone:305-815-4232
Mailing Address - Fax:
Practice Address - Street 1:150 E PALMETTO PARK RD
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-4827
Practice Address - Country:US
Practice Address - Phone:305-815-4232
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-11
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty