SPECTRUM SUPPORT CENTER, LLC (NPI# 1215387808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215387808 |
| Entity Type | Organization |
| Organization Name | SPECTRUM SUPPORT CENTER, LLC |
| Practice Address |
2120 Mistletoe Blvd Suite 3 Fort Worth TX 76110-1174 |
| Mailing Address |
2120 Mistletoe Blvd Suite 3 Fort Worth TX 76110-1175 |
| Practice Telephone | 8323856095 |
| Mailing Telephone | 8323856095 |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2016-06-15 |
| Authorized Official Name | MR. PHILLIP KEESE (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 8323856095 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
2120 MISTLETOE BLVD SUITE 3 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76110-1174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336113208 | Sherrill L Auman | Anesthesiology | 2120 Mistletoe Blvd, Suite #2, Fort Worth, TX 76110-1175 | 2006-02-15 |
| 1992236558 | Social Kids LLC | Behavior Technician | 2120 Mistletoe Blvd, Suite 3a, Fort Worth, TX 76110-1175 | 2017-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992177240 | Sarah Jones Midwifery | Midwife | 2260 5th Ave, Fort Worth, TX 76110 | 2015-10-27 |
| 1427371814 | Cenikor Foundation | Community/Behavioral Health | 2209 South Main Street, Fort Worth, TX 76110 | 2010-03-12 |
| 1225282320 | Ktv Dental, Pa | Dentist | 2717 8th Ave., Fort Worth, TX 76110 | 2008-11-17 |
| 1821291014 | Michael J Davis | Dentist | 1818 8th Avenue, Fort Worth, TX 76110 | 2007-06-06 |
| 1669513347 | Latoya Cherrell Carter | Counselor | 1814 8th Ave # B201, Fort Worth, TX 76110 | 2007-02-08 |
| 1659446771 | Christina Pey-ru Chou | Marriage & Family Therapist | 1616 Park Place Ave., Fort Worth, TX 76110 | 2006-11-22 |
| 1750461364 | Zera Inc | Home Health | 1050 Forest Park Blvd, Fort Worth, TX 76110 | 2006-10-17 |
| 1144300914 | Tai Anh Huynh | Optometrist | 1405 West Berry St, Fort Worth, TX 76110 | 2006-10-16 |
| 1871510784 | Robert T Keller Md & Assco Pa | Internal Medicine | 2751 Greenoaks Rd, Fort Worth, TX 76110 | 2006-07-16 |
| 1114906633 | The Womens Center of Tarrant County Inc | Clinic/Center | 1723 Hemphill, Fort Worth, TX 76110 | 2006-01-12 |
| Find all providers in zip 76110 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760094114 | Jennifer Brown | Behavioral Analyst | 4159 Sarasota Springs Ct, Fort Worth, TX 76123-1465 | 2020-08-18 |
| 1467076349 | Kaitlyn Leigh Steiner | Behavioral Analyst | 2790 Keller Hicks Rd, Fort Worth, TX 76244-9610 | 2020-06-05 |
| 1881214211 | Prime Time Aba-bilingual Therapy LLC | Behavioral Analyst | 6747 Silver Sage Dr, Fort Worth, TX 76137-1840 | 2020-04-27 |
| 1750900478 | Fort Physicians & Professionals Pllc | Behavioral Analyst | 5833 Oak Bend Trail, Fort Worth, TX 76132-3900 | 2020-04-13 |
| 1952934234 | Peace By Piece Therapy LLC | Behavioral Analyst | 1805 Velarde Rd, Fort Worth, TX 76131-2534 | 2020-02-14 |
| 1518597160 | Clearfork Behavior Services LLC | Behavioral Analyst | 7305 Fuller Cir, Fort Worth, TX 76133-6901 | 2020-01-23 |
| 1437790102 | Tanya Danielle Corza | Behavioral Analyst | 2932 Sawtimber Trl, Fort Worth, TX 76244-9404 | 2019-10-03 |
| 1467004861 | Cara Kelso | Behavioral Analyst | 305 W Broadway Ave, Fort Worth, TX 76104-1238 | 2019-07-15 |
| 1386205060 | Hayley Alexandra Friend | Behavioral Analyst | 3450 River Park Dr Apt 831a, Fort Worth, TX 76116-0709 | 2019-06-24 |
| 1801366406 | Gina Stovall | Behavioral Analyst | 1100 Circle Drive Suite 101, Fort Worth, TX 76119 | 2018-11-27 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76110 |
Please comment or provide details below to improve the information on SPECTRUM SUPPORT CENTER, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.