Spectrum Therapy LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SPECTRUM THERAPY LLC

Practice address

200 Marina Dr
Seal Beach, CA 90740-6023

Phone

(805) 208-3924

NPI assigned

Nov 1, 2021

Organization subpart

No

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

Authorized official

Name

Elizabeth Bigham

Title

Chief Operating Officer

Phone

(805) 208-3924

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636934400000",
    "number": "1649935131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12472 FOSTER RD",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907204721",
            "telephone_number": "805-208-3924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MARINA DR",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907406023",
            "telephone_number": "805-208-3924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-11",
        "status": "A",
        "authorized_official_last_name": "BIGHAM",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "805-208-3924"
    },
    "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 Seal Beach, CA
• Providers in Seal Beach, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.