Healthcare Provider Details

I. General information

NPI: 1255248225
Provider Name (Legal Business Name): SOLSTICE BEHAVIORAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5064 7TH AVE
SACRAMENTO CA
95820-1509
US

IV. Provider business mailing address

5064 7TH AVE
SACRAMENTO CA
95820-1509
US

V. Phone/Fax

Practice location:
  • Phone: 916-835-3614
  • Fax:
Mailing address:
  • Phone: 916-835-3614
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name: ERIK GODINEZ
Title or Position: OWNER/CLINICAL SUPERVISOR
Credential: BCBA
Phone: 916-835-3614