Spectrum ABA LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

9 Issued in MA

Legal business name

SPECTRUM ABA LLC

Practice address

182 Mishawum Rd
Woburn, MA 01801-2431

Phone

(978) 971-8449

NPI assigned

Jan 29, 2017

Last updated

Jan 29, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David M Corcoran, BCBA, LABA

Title

Co-Founder

Phone

(978) 971-8449

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1485648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485648000000",
    "number": "1689111627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 MISHAWUM RD",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018012431",
            "telephone_number": "978-971-8449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 MISHAWUM RD",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018012431",
            "telephone_number": "978-971-8449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-29",
        "last_updated": "2017-01-29",
        "status": "A",
        "authorized_official_last_name": "CORCORAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "978-971-8449",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BCBA, LABA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "9",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorraine B Souza, OTR/L
• Ciera Spagolla
• Kailey Lauren Sparks
• Nicole Spaulding, ATC
• Eli Spector, PSY.D.
• Spectrum Wellness LLC
• Michael R Spenard, P.A.
• Denise Ann Spencer
• Peter Sperber
• Jill Spero

• Behavior Analyst in Woburn, MA
• Providers in Woburn, MA by specialty
• Behavior Analyst in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2017; 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.