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General NPI Number Information
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NPI Number | 1205505781
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Entity Type | Organization
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Legal Business Name | SPECTRUM ANALYTIC CONSULTING CA
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Dates
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Enumeration Date | 09/08/2021
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 1610 R ST STE 300
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City | SACRAMENTO
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State | CA
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Zip | 95811-6683
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Country | US
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Telephone | 678-974-2162
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Fax | 888-533-9896
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Provider Business Mailing Address
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Address Line | PO BOX 261
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City | RANCHO CORDOVA
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State | CA
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Zip | 95741-0261
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Country | US
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Telephone | 678-974-2162
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Fax | 888-533-9896
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Authorized Official
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Title or Position | CEO
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Name | MELISSA STEELE-PARKS
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Credential | BCBA
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Telephone | 678-974-2162
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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Taxonomy #3
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Taxonomy Code | 2080P0006X
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Taxonomy Name | Developmental - Behavioral Pediatrics Physician
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License Number |
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Taxonomy #4
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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Taxonomy #5
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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Taxonomy #6
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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