Spectrum of Care Autism Center

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SPECTRUM OF CARE AUTISM CENTER

Practice address

14800 Potomac Branch Dr
Woodbridge, VA 22191-4056

Phone

(706) 329-7213

NPI assigned

May 8, 2023

Last updated

May 8, 2023By 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

Ms. Kimberly Antoniett Jones, BCBA, LBANPI 1760134712

Title

Ceo

Phone

(706) 329-7213

Specialties & licenses 1

Addresses

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.

• Kimberly Antoniett Jones, BCBA

  • Behavior Analyst
  • Woodbridge, VA
  • NPI 1760134712
  NPD Authorized official

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683504000000",
    "number": "1114617735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14800 POTOMAC BRANCH DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221914056",
            "telephone_number": "706-329-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14800 POTOMAC BRANCH DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221914056",
            "telephone_number": "706-329-7213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM OF CARE AUTISM CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANTONIETT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-329-7213",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.