Active NPI
Spectra Behavioral Solutions, Inc
- Behavior Analyst
- Fort Myers, FL
National Provider Identifier
1639658925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- SPECTRA BEHAVIORAL SOLUTIONS, INC
- Practice address
- 10501 Ben C Pratt/6 Mile Cypress Pkwy Ste 115
Fort Myers, FL 33966-6400 - Phone
- (239) 303-2583
- NPI assigned
- Aug 8, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Zenaida Paula, PSYD
- Title
- Owner/President
- Phone
- (239) 303-2583
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
10501 Ben C Pratt/6 Mile Cypress Pkwy Ste 115
Fort Myers, FL 33966-6400
Mailing address
10501 Ben C Pratt/6 Mile Cypress Pkwy Ste 115
Fort Myers, FL 33966-6400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 704618 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
10501 Ben C Pratt/6 Mile Cypress Pkwy
Ste 115
Fort Myers, FL 33966
Phone (239) 303-2583
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- N Fort Myers, FL
- NPI 1376855684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1533686400000",
"number": "1639658925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10501 BEN C PRATT/6 MILE CYPRESS PKWY STE 115",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339666400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10501 BEN C PRATT/6 MILE CYPRESS PKWY STE 115",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339666400",
"telephone_number": "239-303-2583"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPECTRA BEHAVIORAL SOLUTIONS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-08",
"last_updated": "2018-08-08",
"status": "A",
"authorized_official_last_name": "PAULA",
"authorized_official_first_name": "ZENAIDA",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "239-303-2583",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "704618",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
- Lauren J Speas, ARNP
- Specialists in Primary Healthcare Inc
- Specialists in Reproductive Medicine & Surgery, P.a.
- Specialists in Urology Surgery Center LLC
- Specialists in Urology, P.a.
- Spectrum Vibes LLC
- Desiree C Spehn-Roland, MD
- Jennifer Spencer, CASEMANAGER
- Michael F Spencer, OD
- Nancy Theresa Spencer, PSYD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.