# SPECTRUM THERAPY ASSESSMENT AND REHABILITATION, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** STAR, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699949362
- **Authorized official:** MARIA SHILOH-BERGMAN M.A. (OWNER/BEHAVIOR ANALYST)
- **Authorized official phone:** (949) 322-6316

## Contact information

- **Practice address:** 246 CAROLINIAN DR, SUMMERVILLE, SC 29485-7854
- **Practice address phone:** (949) 322-6316
- **Mailing address:** 246 CAROLINIAN DR, SUMMERVILLE, SC 29485-7854

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/14/2008
- **Last updated:** 04/14/2008