Healthcare Provider Details
I. General information
NPI: 1275418733
Provider Name (Legal Business Name): SPECTRUM STEPS ABA INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/06/2025
Last Update Date: 08/06/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1044 E BRANDON BLVD STE EP9
BRANDON FL
33511-5509
US
IV. Provider business mailing address
1044 E BRANDON BLVD STE EP9
BRANDON FL
33511-5509
US
V. Phone/Fax
- Phone: 786-523-4741
- Fax:
- Phone: 786-523-4741
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106E00000X |
| Taxonomy | Assistant Behavior Analyst |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106S00000X |
| Taxonomy | Behavior Technician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
YANET
GALAN NAPOLES
Title or Position: PRESIDENT / BCBA
Credential:
Phone: 786-523-4741