Spectrum ABA Services of Ny

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SPECTRUM ABA SERVICES OF NY

Practice address

21 Sweet Hollow Rd
Huntington, NY 11743-6530

Phone

(631) 385-3342

NPI assigned

Mar 12, 2018

Last updated

Mar 12, 2018By 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

Diana Devivio, MD, PD

Title

Superintendent

Phone

(631) 760-7959

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christi Nicole Campbell, ABA

  • Behavior Analyst
  • Tilton, NH
  • NPI 1851927305
  NPD (past)
• Catherine Jaramillo, M.S., BCBA

  • Behavior Analyst
  • Woodland Hills, CA
  • NPI 1093065054
  NPD (past)
• Jennifer Kirkevold, OTR/L

  • Occupational Therapist
  • Issaquah, WA
  • NPI 1477019883
  NPD (past)
• Megan Elizabeth Paulson-Iroz

  • Behavior Analyst
  • Issaquah, WA
  • NPI 1083067342
  NPD (past)
• Andrea Jean Vanhorn

  • Behavior Technician
  • Issaquah, WA
  • NPI 1508336702
  NPD (past)

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520812800000",
    "number": "1730682139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 SWEET HOLLOW RD",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117436530",
            "telephone_number": "631-385-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 SWEET HOLLOW RD",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117436530",
            "telephone_number": "631-385-3342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM ABA SERVICES OF NY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-12",
        "last_updated": "2018-03-12",
        "status": "A",
        "authorized_official_last_name": "DEVIVIO",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "631-760-7959",
        "authorized_official_credential": "MD, PD"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1831620236",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Soohoo
• Sara Nicole Sorce, L.AC.
• Paul Joseph Sorell III, M.D.
• Randy Sosniak, O.D.
• South Bronx Medial Rehabilitation PC
• Spectrum Therapy Services
• Speech and Hearing Services
• Jessica H Spellman, CCC-SLP, TSSLD
• William R Spencer, MD
• Kirk Sperber, MD

• Behavior Analyst in Huntington, NY
• Providers in Huntington, NY by specialty
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.

Verify at the official NPI Registry.