Organization Active NPI

Spectrum Autism Services, LLC

  • Behavior Analyst
  • Stafford, VA
National Provider Identifier
1184149403
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SPECTRUM AUTISM SERVICES, LLC
Practice address
35 Walpole St Ste 207
Stafford, VA 22554-6546
Phone
(540) 383-7133
NPI assigned
Aug 8, 2017
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Nancy Daly, M.A., BCBA, LBANPI 1790039790
Title
Ceo
Phone
(540) 383-7133

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

Practitioners 188

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

View all 188

National Provider Directory

National Provider Directory

Locations

35 Walpole St
Ste 207
Stafford, VA 22554
Phone (540) 383-7133

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

NPPES NPI Registry

Primary practice location

35 Walpole St Ste 207
Stafford, VA 22554-6546

Mailing address

12 Monument Dr
Stafford, VA 22554-8508

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
30015289290002MedicaidVA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 14, 2025.

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1184149403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MONUMENT DR",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225548508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 WALPOLE ST STE 207",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225546546",
            "telephone_number": "540-383-7133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM AUTISM SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-08",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A",
        "authorized_official_last_name": "DALY",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "540-383-7133",
        "authorized_official_credential": "M.A., BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30015289290002",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.