Organization Active NPI

Spectrum Early Intervention Center LLC

  • Behavior Analyst
  • Loganville, GA
National Provider Identifier
1154251916
Registry record updated May 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SPECTRUM EARLY INTERVENTION CENTER LLC
Practice address
3010 Johnson Rd
Loganville, GA 30052-2987
Phone
(202) 445-9042
NPI assigned
May 21, 2026
Last updated
May 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2026

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

Authorized official

Name
Jesica Quirindongo, MS, BCBA, LBANPI 1467341677
Title
Owner
Phone
(202) 445-9042

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

3010 Johnson Rd
Loganville, GA 30052-2987

Mailing address

3010 Johnson Rd
Loganville, GA 30052-2987
Phone (202) 445-9042

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1779321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779580800000",
    "number": "1154251916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 JOHNSON RD",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300522987",
            "telephone_number": "202-445-9042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 JOHNSON RD",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300522987",
            "telephone_number": "202-445-9042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM EARLY INTERVENTION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-21",
        "last_updated": "2026-05-24",
        "certification_date": "2026-05-24",
        "status": "A",
        "authorized_official_last_name": "QUIRINDONGO",
        "authorized_official_first_name": "JESICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-445-9042",
        "authorized_official_credential": "MS, BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loganville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2026; 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.