Provider Demographics
NPI:1972932895
Name:SPECTRUM OF DISORDERS: CONSULTING AND TRAINING
Entity type:Organization
Organization Name:SPECTRUM OF DISORDERS: CONSULTING AND TRAINING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EDUCATION CONSULTANT
Authorized Official - Prefix:DR
Authorized Official - First Name:NAOMI
Authorized Official - Middle Name:S
Authorized Official - Last Name:ROCK
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:540-676-7771
Mailing Address - Street 1:PO BOX 952
Mailing Address - Street 2:
Mailing Address - City:BLUE RIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:24064-0952
Mailing Address - Country:US
Mailing Address - Phone:540-676-7771
Mailing Address - Fax:540-728-9370
Practice Address - Street 1:245 MOUNTAIN PASS RD
Practice Address - Street 2:
Practice Address - City:BLUE RIDGE
Practice Address - State:VA
Practice Address - Zip Code:24064-1404
Practice Address - Country:US
Practice Address - Phone:540-676-7771
Practice Address - Fax:540-728-9370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-01
Last Update Date:2013-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services