SPECTRUM SPROUTS ABA THERAPY – NPI #1508713017
Pediatrics

A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.

Health Care Provider Taxonomy Code for Pediatrics

SPECTRUM SPROUTS ABA THERAPY is a provider located in PHILADELPHIA, PA. NPPES recently assigned the NPI number 1508713017 to SPECTRUM SPROUTS ABA THERAPY on March 13, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2080P0008X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Neurodevelopmental Disabilities

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SPECTRUM SPROUTS ABA THERAPY below.

NPI Profile for
SPECTRUM SPROUTS ABA THERAPY

NPI Number
1508713017
Enumeration Date

(about 3 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SPECTRUM SPROUTS ABA THERAPY
Primary location
5811 GERMANTOWN AVE
PHILADELPHIA, PA 19144-2138
Phone: (267) 808-5801 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
REGINALD BULLOCK
EXECUTIVE DIRECTOR
Phone: (267) 808-5801
Updated
Certification Date
Mar 13, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080P0008X
- Pediatrics / Neurodevelopmental Disabilities (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.