NPI 1023747482 · live from the CMS NPI Registry
1 Spectrum Therapy
Behavior Analyst in Laguna Hills, CA. National Provider Identifier 1023747482, active.
NPI record
| NPI | 1023747482 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 23046 Avenida De La Carlota Ste 600, Laguna Hills, CA 92653 |
| Practice phone | 714-805-9070 |
| Mailing address | 22365 El Toro Rd Ste 151, Lake Forest, CA 92630 |
| Enumerated | June 9, 2022 |
| Last updated | March 11, 2024 |
| Authorized official | Jessica Berghauser, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.