Spectrum Success LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SPECTRUM SUCCESS LLC

Practice address

4300 Westbrook Rd Unit E
Suwanee, GA 30024-4987

Phone

(770) 790-7413

NPI assigned

Apr 2, 2024

Organization subpart

No

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

Authorized official

Name

Yajurvanthy Chevala

Title

Organizer

Phone

(770) 790-7413

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1376395632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 ESTATES PATH",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300401030",
            "telephone_number": "201-496-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 WESTBROOK RD UNIT E",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244987",
            "telephone_number": "770-790-7413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM SUCCESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "CHEVALA",
        "authorized_official_first_name": "YAJURVANTHY",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "770-790-7413"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.