Provider Demographics
NPI:1205505781
Name:SPECTRUM ANALYTIC CONSULTING CA
Entity type:Organization
Organization Name:SPECTRUM ANALYTIC CONSULTING CA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:STEELE-PARKS
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:678-974-2162
Mailing Address - Street 1:PO BOX 261
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95741-0261
Mailing Address - Country:US
Mailing Address - Phone:678-974-2162
Mailing Address - Fax:888-533-9896
Practice Address - Street 1:1610 R ST STE 300
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95811-6683
Practice Address - Country:US
Practice Address - Phone:678-974-2162
Practice Address - Fax:888-533-9896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-08
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral PediatricsGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive Care