PROVIDER NAME:	JOANNA C WOOD LIC PROVIDER PTAN:	P02525451 PROVIDER NPI:	1801986054 EFFECTIVE DATE:	05/01/2020 END DATE:	 GROUP NAME:	SPECTRUM NEURO BEHAVIORAL CA GROUP PTAN:	EA0360 BUSINESS STATE:	RI EFFECTIVE DATE:  07/29/2019 END DATE: 	