Spectrum Healthcare Services LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SPECTRUM HEALTHCARE SERVICES LLC

Practice address

1222 SE 47TH St
Cape Coral, FL 33904-9661

Phone

(239) 378-0504

Fax

(855) 933-2614

NPI assigned

Jul 16, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Ernesto Morejon Sosa, BCBA

Title

Behavior Analyst

Phone

(239) 378-0504

Specialties & licenses 1

Addresses

Other names 1

• SPECTRUM HEALTHCARE SERVICES LLC Former legal business name

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1770191645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 SE 47TH ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339049661",
            "telephone_number": "239-378-0504",
            "fax_number": "855-933-2614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 SE 47TH ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339049661",
            "telephone_number": "239-378-0504",
            "fax_number": "855-933-2614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-16",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A",
        "authorized_official_last_name": "MOREJON  SOSA",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_title_or_position": "BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "239-378-0504",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPECTRUM HEALTHCARE SERVICES LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Behavior Analyst in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.