Center for Spectrum LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

CENTER FOR SPECTRUM LLC

Practice address

25306 Basil Brook CT
Katy, TX 77494-3178

Phone

(949) 903-5585

NPI assigned

Feb 5, 2021

Last updated

Feb 5, 2021By 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

Mikyung Park, BCBANPI 1639537210

Title

Ceo

Phone

(949) 903-5585

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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.

• Mikyung Park

  • Behavior Analyst
  • Irvine, CA
  • NPI 1639537210
  NPD Authorized official

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

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612483200000",
    "number": "1770175200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25306 BASIL BROOK CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774943178",
            "telephone_number": "949-903-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25306 BASIL BROOK CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774943178",
            "telephone_number": "949-903-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR SPECTRUM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-05",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "MIKYUNG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-903-5585",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alvaro Jose Celis, LPC
• Victor Celis
• Aiten Cemal, MS IN NUTRITIONAL SC
• Cenikor Foundation (Care Counseling Katy)
• Center for Psychological Health-TX PLLC
• Center of Rheumatology Excellence PLLC
• Centers for Advanced Foot Care (Foot & Ankle Institute)
• Centrum Medical Group, PLLC
• Centrum Medical Holdings of Texas, LLC
• Centurion Medical Inc

• Behavior Analyst in Katy, TX
• Providers in Katy, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.