SPECTRUM THERAPEUTIC LEARNING CENTER, LLC (NPI# 1093339814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093339814 |
| Entity Type | Organization |
| Organization Name | SPECTRUM THERAPEUTIC LEARNING CENTER, LLC |
| Practice Address |
2270 Thornton Taylor Pkwy Ste B Fayetteville TN 37334-3669 |
| Mailing Address |
905 Dogwood Dr Fayetteville TN 37334-2261 |
| Practice Telephone | 9315320114 |
| Practice Fax Number | 8552402537 |
| Mailing Telephone | 9315320114 |
| Mailing Fax Number | 8552402537 |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2020-06-25 |
| Authorized Official Name | STEPHANIE ELAINE HATHCOCK (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Telephone | 9315320114 |
| 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 |
| Street Address |
2270 THORNTON TAYLOR PKWY STE B |
| City | FAYETTEVILLE |
| State | TN |
| Zip Code | 37334-3669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902385198 | Denisia Bernadette Maldonado | Specialist/Technologist, Other | 108 Medical Center Blvd., Suite #100, Fayetteville, TN 37334 | 2018-08-09 |
| 1457801011 | Joshua Meadows | Specialist/Technologist | 101 Industrial Blvd, Fayetteville, TN 37334 | 2016-10-07 |
| 1891083762 | Kathryn Clare Moran | Physical Therapist | 1412 Huntsville Hwy, Fayetteville, TN 37334 | 2011-07-13 |
| 1891997714 | Calvin H Parks | Chiropractor | 1321 Huntsville Hwy, Fayetteville, TN 37334 | 2007-06-04 |
| 1225249691 | Stacey Starr Pace | Family Medicine | 1931 Wilson Pky, Suite A, Fayetteville, TN 37334 | 2007-05-25 |
| 1144388992 | Tom Spain Bigham IIi | Dentist | 608 West College Street, Fayetteville, TN 37334 | 2006-12-05 |
| 1932286259 | Alan B Drewry | Dentist | 602 West College Street, Fayetteville, TN 37334 | 2006-11-01 |
| 1083724561 | Samuel Michael Ashby | Internal Medicine | 804 William D Jones Blvd, Fayetteville, TN 37334 | 2006-08-30 |
| 1194336818 | Collin Amos | Pharmacist | 1000 Huntsville Hwy, Fayetteville, TN 37334 | 2020-08-14 |
| 1629450614 | William Daniel | Nurse Practitioner | 106 Medical Center Blvd, Fayetteville, TN 37334 | 2015-06-25 |
| Find all providers in zip 37334 | ||||
| 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 |
|---|---|---|---|---|
| 1134764780 | Mary Ann Mcintyre | Behavioral Analyst | 3677 W Weir Rd, Fayetteville, AR 72704-5906 | 2019-11-07 |
| 1447718630 | Lauren Ann Mcloughlin | Behavioral Analyst | 126 Pavilion Pkwy, Fayetteville, GA 30214-4056 | 2019-03-06 |
| 1417414327 | Kimberly Ann Brauner | Behavioral Analyst | 2331 Bentridge Ln, Fayetteville, NC 28304-0587 | 2019-02-27 |
| 1114490984 | Haymount Institute for Psychological Services, Pllc | Behavioral Analyst | 996 Helen St, Fayetteville, NC 28303-3069 | 2019-01-04 |
| 1053891937 | Bev Graham | Behavioral Analyst | 3155 N College Ave Ste 108, Fayetteville, AR 72703-3500 | 2018-08-20 |
| 1275012270 | Behavior Change Agents LLC | Behavioral Analyst | 5948 Fisher Rd Ste 202, Fayetteville, NC 28304-5751 | 2018-08-09 |
| 1376049551 | Alina Lovano | Behavioral Analyst | 2919 Breezewood Ave Ste 202, Fayetteville, NC 28303-5283 | 2018-04-05 |
| 1093222101 | Lauren Bonneau | Behavioral Analyst | 6985 Nexus Ct, Suite 107, Fayetteville, NC 28314 | 2018-01-10 |
| 1073020020 | Maurice D Jackson | Behavioral Analyst | 6985 Nexus Ct Ste 107, Fayetteville, NC 28304-3186 | 2017-12-29 |
| 1275057929 | Tonia Finocchiaro | Behavioral Analyst | 3408 Canmorre Ct, Fayetteville, NC 28306-7559 | 2017-08-02 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 37334 |
Please comment or provide details below to improve the information on SPECTRUM THERAPEUTIC LEARNING 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.