SPECTRUM ABA LLC (NPI# 1689111627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689111627 |
| Entity Type | Organization |
| Organization Name | SPECTRUM ABA LLC |
| Practice Address |
182 Mishawum Rd Woburn MA 01801-2431 |
| Practice Telephone | 9789718449 |
| Mailing Telephone | 9789718449 |
| Enumeration Date | 2017-01-29 |
| Last Update Date | 2017-01-29 |
| Authorized Official Name | MR. DAVID M CORCORAN (CO-FOUNDER) |
| Authorized Official Telephone | 9789718449 |
| Authorized Official Credential | BCBA, LABA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 9 | MA | Behavioral Health & Social Service Providers |
| Street Address |
182 MISHAWUM RD |
| City | WOBURN |
| State | MA |
| Zip Code | 01801-2431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134655525 | Gregory Bliss Wood | Behavior Technician | 182 Mishawum Rd, Woburn, MA 01801-2431 | 2017-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267684 | Leticia Siqueiros | Counselor | Health Care Resource Center Woburn, 9 Forbes Rd, Woburn, MA 01801 | 2019-10-28 |
| 1144882739 | Sarah Martino | Registered Nurse | 7 Alfred Street, Baldwin Park II, Woburn, MA 01801 | 2019-07-03 |
| 1780154005 | Julie Paster-kinnicutt | Social Worker | Lahey Accountable Care Unit, 12 Alfred Street, Suite 207, Woburn, MA 01801 | 2018-11-29 |
| 1164906418 | Amanda Chryslan Scippa | Dietitian, Registered | 2 Oak Knoll Drive, Woburn, MA 01801 | 2018-09-22 |
| 1902383276 | Winchester Physician Associates, Inc. | Occupational Therapist | 100 Unicorn Park, Suite 102, Woburn, MA 01801 | 2018-07-19 |
| 1104317494 | Pauline P Reilly | Dentist | 90 Pleasant Street, Dental Health Care of Woburn, P. C., Woburn, MA 01801 | 2018-05-23 |
| 1134628027 | Caroline Rose Scheck | Behavior Technician | 331 Montvale Ave 5th Floor, Woburn, MA 01801 | 2018-02-06 |
| 1396252425 | Sabrina Voegelin | Social Worker | 410 Russell St, Woburn, MA 01801 | 2018-01-10 |
| 1467975730 | Francine Forbes | Behavior Technician | 10 Gill St., J, Woburn, MA 01801 | 2017-07-19 |
| 1568985851 | Lukasiewicz and Bellavance LLC | Dentist | 3 Baldwin Green Common Suite 101, Woburn, MA 01801 | 2017-07-19 |
| Find all providers in zip 01801 | ||||
| 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 |
|---|---|---|---|---|
| 1114412574 | Nicholas Joseph Fisichella | Behavioral Analyst | 600 W Cummings Park Ste And1900, Woburn, MA 01801-6369 | 2018-06-28 |
| 1144719253 | Andrew Gauthier | Behavioral Analyst | 2a Altavesta Cir, Woburn, MA 01801-1263 | 2018-05-03 |
| 1801304274 | Samantha Dembitzky | Behavioral Analyst | 188 Place Ln, Woburn, MA 01801-2974 | 2018-01-18 |
| 1235652587 | Aquatic Behavior, LLC | Behavioral Analyst | 4 Kimball Ct Apt 306, Woburn, MA 01801-6969 | 2017-07-19 |
| 1679016125 | Jillian Bishop | Behavioral Analyst | 13201 Inwood Dr, Woburn, MA 01801-5177 | 2016-11-30 |
| 1295283190 | Nicole Elizabeth Radzilowicz | Behavioral Analyst | 600 W Cummings Park Ste 1800, Woburn, MA 01801-6433 | 2016-09-20 |
| 1699164293 | Nicole Giacoppo | Behavioral Analyst | 5 Constitution Way, Woburn, MA 01801-1199 | 2015-01-20 |
| 1982019337 | Jennifer Christine Scott | Behavioral Analyst | 331 Montvale, 5th Floor, Woburn, MA 01801 | 2014-06-24 |
| 1801154257 | Danielle M Wiegand | Behavioral Analyst | 10 Gill St Ste J, Woburn, MA 01801 | 2012-04-23 |
| 1447862446 | Neila Berthe Rene | Behavioral Analyst | 10 Gill St Ste J, Woburn, MA 01801-1721 | 2020-08-20 |
| Find all providers in WOBURN | ||||
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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.