Organization Active NPI

Spectacular Kids ABA Therapy and Consulting, LLC

  • Behavior Analyst
  • Kingwood, TX
National Provider Identifier
1871868125
Registry record updated Sep 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SPECTACULAR KIDS ABA THERAPY AND CONSULTING, LLC
Practice address
2665 Royal FRST Ste B200
Kingwood, TX 77339-5045
Phone
(281) 713-8980
Fax
(281) 713-8938
NPI assigned
Mar 20, 2012
Last updated
Sep 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2022

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

Authorized official

Name
Dana Black Harris, BCBA, LBANPI 1912202912
Title
Chief Executive Officer
Phone
(281) 713-8980

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 Analyst 103K00000X NU Primary

Addresses

Primary practice location

2665 Royal FRST Ste B200
Kingwood, TX 77339-5045

Mailing address

PO Box 2532
Spring, TX 77383-2532
Phone (281) 713-8980

National Provider Directory

National Provider Directory

Locations

2665 Royal Frst
Ste B200
Kingwood, TX 77339
Phone (281) 713-8980

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663372800000",
    "number": "1871868125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2532",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773832532",
            "telephone_number": "281-713-8980",
            "fax_number": "281-713-8938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 ROYAL FRST STE B200",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773395045",
            "telephone_number": "281-713-8980",
            "fax_number": "281-713-8938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTACULAR KIDS ABA THERAPY AND CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-20",
        "last_updated": "2022-09-17",
        "certification_date": "2022-09-17",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "BLACK",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "281-713-8980",
        "authorized_official_credential": "BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2022; 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.