Most Relevant Information
Provider Data
| NPI Number: | 1003574039 |
| Provider Name: | MICHELLE HORNE |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/07/2021 |
| Last Updated: | 12/07/2021 |
Provider Practice Location
9900 N. DAVIS HWY. PROUD MOMENTS ABA DBA SPECTRUM HOUSE
PENSACOLA
FL
32514
Practice Location Phone/Fax
| Phone: | 8506076910 |
| Fax: | 8506076932 |
Provider Mailing Location
9900 N. DAVIS HWY. PROUD MOMENTS ABA DBA SPECTRUM HOUSE
PENSACOLA
FL
32514
Provider Mailing Phone/Fax
| Phone: | 8506076910 |
| Fax: | 8506076932 |