NPI 1174087431

Changing the Spectrum, LLC

Organisation Early Intervention Provider Agency Pearland, TX

Practice location

Address: 4210 Broadway St, Pearland, TX 77581-4118
Phone: (281) 676-2557
Fax: (318) 855-1277
Mailing address: 3411 Whitman Dr, Rosharon, TX 77583-1204

Authorised official

Name: Victoria Johnson
Title: Owner, Bcba
Phone: (318) 680-6422

Registered specialties (2)

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X

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Behavior Analyst

Behavioral Health & Social Service Providers Taxonomy 103K00000X

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Registry record

NPI: 1174087431
Entity type: Organization
NPI issued: 30 Jan 2019
Record last updated: 10 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.