Organization Active NPI

Spectrum Behavior Therapy, LLC

  • Behavior Analyst
  • West Palm Beach, FL
National Provider Identifier
1871371237
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SPECTRUM BEHAVIOR THERAPY, LLC
Practice address
3429 Saranac Ave
West Palm Beach, FL 33409-4930
Phone
(786) 856-8370
NPI assigned
Sep 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Authorized official

Name
Ana Maria Rodriguez Jo, RBT-23-295645NPI 1770369811
Title
MGR
Phone
(786) 856-8370

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

3429 Saranac Ave
West Palm Beach, FL 33409-4930

Mailing address

3429 Saranac Ave
West Palm Beach, FL 33409-4930
Phone (786) 856-8370

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1871371237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3429 SARANAC AVE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334094930",
            "telephone_number": "786-856-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3429 SARANAC AVE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334094930",
            "telephone_number": "786-856-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM BEHAVIOR THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ JO",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "786-856-8370",
        "authorized_official_credential": "RBT-23-295645"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.