Changing the Spectrum, LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

CHANGING THE SPECTRUM, LLC

Doing business as

Changing the Spectrum, LLC

Practice address

4210 Broadway St
Pearland, TX 77581-4118

Phone

(281) 676-2557

Fax

(318) 855-1277

NPI assigned

Jan 30, 2019

Organization subpart

No

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

Authorized official

Name

Victoria Johnson, MS, BCBA, LBANPI 1346766862

Title

Owner, Bcba

Phone

(318) 680-6422

Specialties & licenses 2

Addresses

Other names 1

• Changing the Spectrum, LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Victoria G Johnson, LBA

  • Behavior Analyst
  • Pearland, TX
  • NPI 1346766862
  NPD Authorized official

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

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699574400000",
    "number": "1174087431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 WHITMAN DR",
            "city": "ROSHARON",
            "state": "TX",
            "postal_code": "775831204",
            "telephone_number": "318-680-6422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 BROADWAY ST",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775814118",
            "telephone_number": "281-676-2557",
            "fax_number": "318-855-1277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4115 N Kings Hwy Ste 112",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "TX",
            "postal_code": "755034855",
            "country_code": "US",
            "telephone_number": "281-676-2557",
            "fax_number": "318-855-1277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHANGING THE SPECTRUM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-30",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "OWNER, BCBA",
        "authorized_official_telephone_number": "318-680-6422",
        "authorized_official_credential": "MS, BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Changing the Spectrum, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark Chandrapaul, PT, DPT
• Jakaycee K Chaney
• Diana Chang
• Ryan Chang, OD
• Vicki Chang, O.D.
• Darren Matthew Chapman, M.D.
• Nizar Chafic Charafeddine, MD
• Mahek Mansoor Charania
• Charicare Incorporated
• Carolyn Celestine Charles, FNP-C

• Early Intervention Provider Agency in Pearland, TX
• Providers in Pearland, TX by specialty
• Early Intervention Provider Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.