Provider Demographics
NPI:1538959952
Name:SPECTRUM SUPPORT SERVICES, LLC
Entity type:Organization
Organization Name:SPECTRUM SUPPORT SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL COUNSEL & CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:WEISS
Authorized Official - Suffix:
Authorized Official - Credentials:ESQUIRE
Authorized Official - Phone:917-612-1310
Mailing Address - Street 1:17 S FRANKLIN TPKE STE 2
Mailing Address - Street 2:
Mailing Address - City:RAMSEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07446-2536
Mailing Address - Country:US
Mailing Address - Phone:917-612-1310
Mailing Address - Fax:917-612-1310
Practice Address - Street 1:17 S FRANKLIN TPKE STE 2
Practice Address - Street 2:
Practice Address - City:RAMSEY
Practice Address - State:NJ
Practice Address - Zip Code:07446-2536
Practice Address - Country:US
Practice Address - Phone:917-612-1310
Practice Address - Fax:917-612-1310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-08
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services