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

NPI Status: Active since June 15, 2016

Contact Information

2120 MISTLETOE BLVD
SUITE 3
FORT WORTH, TX
ZIP 76110
Phone: (832) 385-6095

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  • Organization
  • Behavior Analyst

About SPECTRUM SUPPORT CENTER, LLC

This page provides the complete NPI Profile along with additional information for Spectrum Support Center, Llc, a provider established in Fort Worth, Texas operating as a Behavior Analyst. The healthcare provider is registered in the NPI registry with number 1215387808 assigned on June 2016. The practitioner's primary taxonomy code is 103K00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. Spectrum Support Center, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mr. Phillip Keese (Chief Operating Officer)

NPI
1215387808
Provider Name
SPECTRUM SUPPORT CENTER, LLC
Entity Type
Organization
Location Address
2120 MISTLETOE BLVD SUITE 3 FORT WORTH, TX 76110
Location Phone
(832) 385-6095
Mailing Address
2120 MISTLETOE BLVD SUITE 3 FORT WORTH, TX 76110
Mailing Phone
(832) 385-6095
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-15-2016
Last Update Date
06-15-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Behavior Analyst

Taxonomy Code
103K00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. PHILLIP KEESE

Authorized Official Title
CHIEF OPERATING OFFICER
Authorized Official Phone
(832) 385-6095

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1215387808
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2225681480
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 6 + 8 + 1 + 4 + 8 + 0 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1215387808 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

DR. SHERRILL L AUMAN M.D.

Anesthesiology

2120 MISTLETOE BLVD
SUITE #2
FORT WORTH, TX
ZIP 76110

(817) 927-8900

SOCIAL KIDS LLC

Behavior Analyst

2120 MISTLETOE BLVD
SUITE 3A
FORT WORTH, TX
ZIP 76110

(817) 821-8893

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215387808, enumerated as an "organization" on June 15, 2016.

The provider is located at 2120 MISTLETOE BLVD SUITE 3 FORT WORTH, TX 76110 and the phone number is (832) 385-6095.

Behavior Analyst with taxonomy code 103K00000X.