SPECTRUM, LLC (NPI# 1639559529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639559529 |
| Entity Type | Organization |
| Organization Name | SPECTRUM, LLC |
| Practice Address |
1211 Bradley Rd Severn MD 21144-2786 |
| Mailing Address |
Po Box 164 Severn MD 21144-0164 |
| Practice Telephone | 3013465394 |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2015-06-04 |
| Authorized Official Name | MRS. HEATHER NICOLE HOOPER (OWNER) |
| Authorized Official Telephone | 3013465394 |
| Authorized Official Credential | MA, BCBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 252Y00000X | Early Intervention Provider Agency | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SPECTRUM, LLC | 4845 E Cheryl Drive, Paradise Valley, AZ 85253-1024 |
| Oregon Corporations, Companies and Business Names | SPECTRUM, LLC | Pollinate - Attn Partners, 315 Sw 11th Avenue - 2nd Floor, Portland, OR 97205 |
| Colorado Business Entities | Spectrum, LLC | 2450 Central Ave, Suite L, Boulder, CO 80301 |
| Street Address |
1211 BRADLEY RD |
| City | SEVERN |
| State | MD |
| Zip Code | 21144-2786 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639725880 | Brittany Laree Klemmer | Behavior Technician | 1211 Bradley Rd, Severn, MD 21144-2786 | 2019-08-14 |
| 1154837664 | Jessica L Young | Behavioral Analyst | 1211 Bradley Rd, Severn, MD 21144-2786 | 2017-12-19 |
| 1629589114 | Christina A Hansen | Behavioral Analyst | 1211 Bradley Rd, Severn, MD 21144-2786 | 2017-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033724786 | Life Force for Older Americans, Inc. | In Home Supportive Care | 1869 Hawk Court, Severn, MD 21144 | 2020-09-10 |
| 1154942043 | Alysia Frances Henderson | Specialist/Technologist | 7675 Baltimore Avenue, Ritchie Coliseum 0100, College Park, MD 21144 | 2020-05-01 |
| 1952952251 | Cristelyne Galutira | Behavior Technician | 8303 Canyon Oak Dr, Severn, MD 21144 | 2019-09-27 |
| 1710542717 | Seleste Upshaw | Nurse Practitioner | 524 Hidden Valley Court, Severn, MD 21144 | 2019-05-06 |
| 1528538105 | Life Support Clinical Counseling Service LLC | Counselor | 82 Janet Dale Ln, Severn, MD 21144 | 2018-11-27 |
| 1972088045 | Abundant Life and Wellness Counseling Services, LLC | Counselor | 1812 Encore Ter, Severn, MD 21144 | 2018-09-25 |
| 1528544731 | Allegiance Chiropractic LLC | Chiropractor | 2622h Annapolis Rd, Severn, MD 21144 | 2018-07-11 |
| 1922554526 | Amana Khondaker | Pharmacist | 2600 Annapolis Rd., Severn, MD 21144 | 2016-09-01 |
| 1457707960 | Caroline Akomolede | Licensed Practical Nurse | 8420 Gale Lane, Aa, Severn, MD 21144 | 2016-05-13 |
| 1306184726 | Casey Mary Mccall | Counselor | 1157 Reece Road, Severn, MD 21144 | 2013-01-18 |
| Find all providers in zip 21144 | ||||
| Taxonomy Code | 252Y00000X |
| Grouping | Agencies |
| Classification | Early Intervention Provider Agency |
| Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children’s needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development. |
| Notes: Source: National Dissemination Center for Children with Disabilities [7/1/2007: new] http://www.nichcy.org/pubs/parent/pa2txt.htm |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356948004 | Autastic Aba Therapy | Early Intervention Provider Agency | 6601 Willow Creek Rd, Bowie, MD 20720-3324 | 2020-10-06 |
| 1477175909 | Edwjor-usa Company Corporation | Early Intervention Provider Agency | 6605 Chelwood Rd, Baltimore, MD 21209-2607 | 2020-05-06 |
| 1417576166 | Monopatia, Inc | Early Intervention Provider Agency | 901 Philadelphia Rd Ste E, Joppa, MD 21085-3198 | 2020-04-13 |
| 1215567375 | Nemahun Aminata Songu-mbriwa | Early Intervention Provider Agency | 8935 Early April Way Apt I, Columbia, MD 21046-2439 | 2020-01-16 |
| 1194214999 | Bk Behavioral Health Center | Early Intervention Provider Agency | 1805 Pennsylvania Ave., Suite 102, Baltimore, MD 21217-4958 | 2018-05-07 |
| 1538519541 | Jessica Brown | Early Intervention Provider Agency | 8792 Grasmere Ct, Fort Washington, MD 20744-7153 | 2016-06-21 |
| 1851777221 | Patricia A. Markey | Early Intervention Provider Agency | 11908 Bristol Manor Ct., Bethesda, MD 20852 | 2015-08-07 |
| 1558605386 | Paramount Therapy Resources | Early Intervention Provider Agency | 2206 Green Ginger Cir, Accokeek, MD 20607-3726 | 2012-11-16 |
| 1992002620 | Walter P. Carter Child Care Center | Early Intervention Provider Agency | 7017 Woodscape Dr, Clarksville, MD 21029-1635 | 2011-02-15 |
| 1093010670 | Cynthia Marie Eberhart | Early Intervention Provider Agency | 15609 Broadfording Rd, Clear Spring, MD 21722 | 2011-01-13 |
| 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.