Skyward Spectrum LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SKYWARD SPECTRUM LLC

Practice address

1429 Brookgreen Dr
North Augusta, SC 29841-6029

Phone

(706) 434-8188

Fax

(706) 434-8674

NPI assigned

Sep 14, 2022

Organization subpart

Yes

Parent organization

ABA SUCCESS LLCAs reported in NPPES

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

Authorized official

Name

Mr. Reece Epstein

Title

Owner

Phone

(773) 312-3735

Specialties & licenses 1

Addresses

Other names 1

• Skyward Spectrum Doing business as

Part of

ABA Success LLC

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1639891963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 ROBERT C DANIEL JR PKWY # 1051",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309090803",
            "telephone_number": "706-434-8188",
            "fax_number": "706-434-8674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 BROOKGREEN DR",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298416029",
            "telephone_number": "706-434-8188",
            "fax_number": "706-434-8674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYWARD SPECTRUM LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ABA SUCCESS LLC",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "EPSTEIN",
        "authorized_official_first_name": "REECE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-312-3735",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skyward Spectrum",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peter Shull, PHARMD
• Stephanie Silva
• Shelby Simmons, PHARMD
• Richard Wright Simpson V, DMD
• Timothy Wayne Sizemore, DMD
• Allen L Sloan, MD
• Alexandria Nicole Smalls
• Delane Smiley, CPT
• Haley Smith
• Jennifer Smith

• Behavior Analyst in North Augusta, SC
• Providers in North Augusta, SC by specialty
• Behavior Analyst in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.