Provider Demographics
NPI:1194356816
Name:EVERYTHING ON THE SPECTRUM LLC
Entity Type:Organization
Organization Name:EVERYTHING ON THE SPECTRUM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:LAUREN
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:805-405-6440
Mailing Address - Street 1:7613 STILLHAVEN CT SE
Mailing Address - Street 2:
Mailing Address - City:OWENS CROSS ROADS
Mailing Address - State:AL
Mailing Address - Zip Code:35763-3016
Mailing Address - Country:US
Mailing Address - Phone:805-405-6440
Mailing Address - Fax:
Practice Address - Street 1:7613 STILLHAVEN CT SE
Practice Address - Street 2:
Practice Address - City:OWENS CROSS ROADS
Practice Address - State:AL
Practice Address - Zip Code:35763-3016
Practice Address - Country:US
Practice Address - Phone:805-405-6440
Practice Address - Fax:256-564-7320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-31
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior AnalystGroup - Single Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty