Spectrum Therapeutic Learning Center, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SPECTRUM THERAPEUTIC LEARNING CENTER, LLC

Practice address

2270 Thornton Taylor Pkwy Ste B
Fayetteville, TN 37334-3669

Phone

(931) 532-0114

Fax

(855) 240-2537

NPI assigned

Jun 8, 2020

Last updated

Jun 25, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stephanie Elaine Hathcock, BCBANPI 1679904650

Title

Owner/Clinical Director

Phone

(931) 532-0114

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephanie Hathcock, M.A., BCBA

  • Behavior Analyst
  • Fayetteville, TN
  • NPI 1679904650
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593043200000",
    "number": "1093339814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 DOGWOOD DR",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373342261",
            "telephone_number": "931-532-0114",
            "fax_number": "855-240-2537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 THORNTON TAYLOR PKWY STE B",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373343669",
            "telephone_number": "931-532-0114",
            "fax_number": "855-240-2537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM THERAPEUTIC LEARNING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-08",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A",
        "authorized_official_last_name": "HATHCOCK",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "931-532-0114",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louisa Morgan Smotherman, LPN
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• William K Spears, MD
• Morgan Honey Spray, LBA, BCBA
• Heather Kilpatrick Stafford, APRN
• Sara Lane Stanly, FNP
• Star Optometry TN, PC (InFocus Eyecare)
• State of Tennessee (Lincoln County Health Department)

• Behavior Analyst in Fayetteville, TN
• Providers in Fayetteville, TN by specialty
• Behavior Analyst in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.