Spectrum ABA Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1-09-5649 Issued in NJ

Legal business name

SPECTRUM ABA SERVICES LLC

Practice address

857 Darlington Ave
Mahwah, NJ 07430-2528

Phone

(201) 500-5484

NPI assigned

Oct 22, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Lauren Beswick

Title

Managing Partner, Business Director

Phone

(201) 500-5484

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415664000000",
    "number": "1609129121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 E RAMAPO AVE",
            "address_2": "#842",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074307000",
            "telephone_number": "201-500-5484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 DARLINGTON AVE",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074302528",
            "telephone_number": "201-500-5484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM ABA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-22",
        "last_updated": "2014-11-11",
        "status": "A",
        "authorized_official_last_name": "BESWICK",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "MANAGING PARTNER, BUSINESS DIRECTOR",
        "authorized_official_telephone_number": "201-500-5484",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "1-09-5649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Mahwah, NJ
• Providers in Mahwah, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2014; 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.