Healthcare Provider Details

I. General information

NPI: 1205505781
Provider Name (Legal Business Name): SPECTRUM ANALYTIC CONSULTING CA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2021
Last Update Date: 02/27/2025
Certification Date: 02/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1610 R ST STE 300
SACRAMENTO CA
95811-6683
US

IV. Provider business mailing address

PO BOX 261
RANCHO CORDOVA CA
95741-0261
US

V. Phone/Fax

Practice location:
  • Phone: 678-974-2162
  • Fax: 888-533-9896
Mailing address:
  • Phone: 678-974-2162
  • Fax: 888-533-9896

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2080P0006X
TaxonomyDevelopmental - Behavioral Pediatrics Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MELISSA STEELE-PARKS
Title or Position: CEO
Credential: BCBA
Phone: 678-974-2162