SPECTRUM HEALTHCARE SERVICES LLC (NPI# 1770191645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770191645 |
| Entity Type | Organization |
| Organization Name | SPECTRUM HEALTHCARE SERVICES LLC |
| Other Organization Name | SPECTRUM HEALTHCARE SERVICES LLC |
| Practice Address |
9857 Colonial Walk N Estero FL 33928-6307 |
| Practice Telephone | 7864510516 |
| Practice Fax Number | 8559332614 |
| Mailing Telephone | 7864510516 |
| Mailing Fax Number | 8559332614 |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2020-09-02 |
| Authorized Official Name | MR. ERNESTO MOREJON SOSA (BEHAVIOR ANALYST) |
| Authorized Official Telephone | 7864510516 |
| Authorized Official Credential | BCBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| SPECTRUM HEALTHCARE SERVICES LLC | Former Legal Business Name - Organization |
| Street Address |
9857 COLONIAL WALK N |
| City | ESTERO |
| State | FL |
| Zip Code | 33928-6307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326653346 | Lester Herrera | Behavior Technician | 9857 Colonial Walk N, Estero, FL 33928-6307 | 2020-09-15 |
| 1629683438 | Javier Mendez | Behavior Technician | 9857 Colonial Walk N, Estero, FL 33928-6307 | 2020-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578055588 | Jeremiah S Mossman | Nurse Anesthetist, Certified Registered | 21586 Belvedere Ln, Estero, FL 33928 | 2018-06-05 |
| 1376030361 | Trish Daino Lisw LLC | Social Worker | 9180 Estero Park Commons, Ste 2, Suite 2, Estero, FL 33928 | 2018-04-16 |
| 1861994204 | Kin Med, Pa | General Practice | 19910 S Tamiami Trail Ste C, Estero, FL 33928 | 2018-03-01 |
| 1073031225 | Dieu Huyen Thi Le | Pharmacist | 20311 Grande Oak Blvd, Estero, FL 33928 | 2017-09-07 |
| 1295284008 | National Vision, Inc. | Technician/Technologist | 22907 Lyden Dr, Estero, FL 33928 | 2016-09-22 |
| 1275982654 | Eileen Cherbini | Counselor | 13616 Canola Ct, Estero, FL 33928 | 2016-06-07 |
| 1952759342 | Alexander Conrad | Counselor | 8010 Sardinia Way Unit #221, Estero, FL 33928 | 2016-05-26 |
| 1154700466 | Estero Eyecare | Clinic/Center | 21753 Brixham Run Loop, Estero, FL 33928 | 2015-05-20 |
| 1982082335 | Gulfshore Pediatric Dentistry, P.a. | Dentist | 9921 Corkscrew Rd, Estero, FL 33928 | 2015-05-18 |
| 1942697149 | Conor William Byrt | Emergency Medicine | 21731 Sound Way, 102, Estero, FL 33928 | 2015-04-25 |
| Find all providers in zip 33928 | ||||
| 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 |
|---|---|---|---|---|
| 1225513021 | Janet Margaret Couet | Behavioral Analyst | 20061 Ballylee Ct, Estero, FL 33928-3061 | 2018-09-27 |
| 1518489368 | Ernesto Morejon Sosa | Behavioral Analyst | 10115 Villagio Palms Way Unit 201, Estero, FL 33928-3182 | 2017-07-13 |
| 1992245716 | Tiffany Patat | Behavioral Analyst | 19750 Osprey Cove Blvd, #213, Estero, FL 33967-5699 | 2017-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124978 | Jelenny Marquez | Behavioral Analyst | 529 Se Palm Beach Rd Ste 103, Stuart, FL 34994-2477 | 2020-11-06 |
| 1295336246 | Harold Santiso Laureiro | Behavioral Analyst | 5870 S 38th Ct, Greenacres, FL 33463-4724 | 2020-11-05 |
| 1326649286 | Treetop Therapy Fl | Behavioral Analyst | 709 S Federal Hwy Ste 2, Boynton Beach, FL 33435-5610 | 2020-11-05 |
| 1245831676 | Clr Behavior LLC | Behavioral Analyst | 2621 Se 4th Ave, Cape Coral, FL 33904-2765 | 2020-11-03 |
| 1245830843 | Mg Puzzle Pieces Corp | Behavioral Analyst | 4400 N Federal Hwy Ste 5, Boca Raton, FL 33431-3424 | 2020-11-01 |
| 1023618949 | Gerardo Veiga Iparraguirre | Behavioral Analyst | 5789 S 37th St, Greenacres, FL 33463-3271 | 2020-10-29 |
| 1861092751 | Lester Castillo | Behavioral Analyst | 9952 Sw 8th St, Miami, FL 33174-2878 | 2020-10-29 |
| 1437759214 | Minssu Pena | Behavioral Analyst | 2615 Fairways Dr Fl 33035, Homestead, FL 33035-1173 | 2020-10-29 |
| 1447850482 | Yisell Ferreira | Behavioral Analyst | 2315 W 66th Pl, Hialeah, FL 33016-3902 | 2020-10-28 |
| 1447850540 | Janellene Lopez | Behavioral Analyst | 14422 Sw 10th St, Miami, FL 33184-3113 | 2020-10-28 |
| Find all providers with the same taxonomy | ||||
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| 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.