Center for Spectrum CL LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

CENTER FOR SPECTRUM CL LLC

Practice address

16703 Pebbleglen Dr
Houston, TX 77095-1399

Phone

(949) 903-5585

NPI assigned

Jan 16, 2023

Organization subpart

No

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

Authorized official

Name

Mikyung Park, BCBA, LBANPI 1639537210

Title

Ceo

Phone

(346) 340-7182

Specialties & licenses 1

Addresses

Practitioners 1

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

• Mikyung Park

  • Behavior Analyst
  • Irvine, CA
  • NPI 1639537210
  NPD Authorized official

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673827200000",
    "number": "1477268290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16703 PEBBLEGLEN DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770951399",
            "telephone_number": "949-903-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16703 PEBBLEGLEN DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770951399",
            "telephone_number": "949-903-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR SPECTRUM CL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "MIKYUNG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "346-340-7182",
        "authorized_official_credential": "BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Houston, TX
• Providers in Houston, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.