SPECTRUM SUPPORT CENTER, LLC
NPI 1215387808
Behavior Analyst in Fort Worth, TX

Active since June 15, 2016
2120 MISTLETOE BLVD, SUITE 3, FORT WORTH, TX 76110(832) 385-6095 Get Directions Write a Review

NPPES record last updated: June 15, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Spectrum Support Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPECTRUM SUPPORT CENTER, LLC (NPI 1215387808) is a healthcare organization registered as a behavior analyst in Fort Worth, Texas and active in the NPI registry since June 2016. The organization lists Phillip Keese, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1215387808
Entity TypeOrganization
Primary Taxonomy103K00000X
Legal Business NameSPECTRUM SUPPORT CENTER, LLC
Location Address2120 MISTLETOE BLVD, SUITE 3Fort Worth, TX 76110-1174
Mailing Address2120 Mistletoe Blvd, Suite 3Fort Worth, TX 76110-1175 · (832) 385-6095
Organization SubpartNo
Authorized OfficialPhillip KeeseChief Operating Officer · (832) 385-6095
Enumeration DateJune 15, 2016
NPI 1215387808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Definition
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.
2120 MISTLETOE BLVD, Fort Worth, TX 76110

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
2120 MISTLETOE BLVD, SUITE #2
FORT WORTH, TX 76110
Psychologist
2120 MISTLETOE BLVD
FORT WORTH, TX 76110
Behavior Analyst
2120 MISTLETOE BLVD, SUITE 3A
FORT WORTH, TX 76110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spectrum Support Center, LLC's NPI number?

The NPI number for Spectrum Support Center, LLC is 1215387808. It was assigned to this organization in the NPPES registry on June 15, 2016.

Where is Spectrum Support Center, LLC located?

Spectrum Support Center, LLC is located at 2120 Mistletoe Blvd Suite 3, Fort Worth, TX 76110. The listed phone number is (832) 385-6095.

What is Spectrum Support Center, LLC's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Spectrum Support Center, LLC was last updated on June 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.