Spectra Autism Center

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

License

57189 Issued in CO

Legal business name

SPECTRA AUTISM CENTER

Practice address

2424 9TH Ave
Apartment 3108
Longmont, CO 80503-4043

Phone

(610) 751-2911

NPI assigned

Jan 24, 2013

Organization subpart

No

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

Authorized official

Name

Amy Gearhard

Title

Ceo

Phone

(303) 935-5200

Specialties & licenses 1

Addresses

Tax ID family

SC School for the Deaf and the Blind2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• SC School for the Deaf and the Blind

  • Case Management Agency
  • Columbia, SC
  • NPI 1104165042
  NPD tax ID

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1174861280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 9TH AVE",
            "address_2": "APARTMENT 3108",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805034043",
            "telephone_number": "610-751-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 9TH AVE",
            "address_2": "APARTMENT 3108",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805034043",
            "telephone_number": "610-751-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRA AUTISM CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-24",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "GEARHARD",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "303-935-5200"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "CO",
            "license": "57189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Stephanie Spencer, RN
• Lindsay Diane Spiegel, M.A., CCC-SLP
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• Local Education Agency (LEA) in Longmont, CO
• Providers in Longmont, CO by specialty
• Local Education Agency (LEA) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.