Provider Demographics
NPI:1780436493
Name:SPECTRUM SUPPORT SOLUTIONS
Entity type:Organization
Organization Name:SPECTRUM SUPPORT SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:DENIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:GUMUSTEKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-448-1003
Mailing Address - Street 1:11235 AVERY COVE CT
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-1464
Mailing Address - Country:US
Mailing Address - Phone:803-448-1003
Mailing Address - Fax:
Practice Address - Street 1:11235 AVERY COVE CT
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-1464
Practice Address - Country:US
Practice Address - Phone:803-448-1003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-04
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty