SPECTRUM BEHAVIORAL CONSULTING LLC


Address: 1109 Fern Ln, Suffolk, VA 23434-2547
Phone: 7575351723

SPECTRUM BEHAVIORAL CONSULTING LLC (NPI# 1235546417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235546417
Entity Type Organization
Organization Name SPECTRUM BEHAVIORAL CONSULTING LLC
Practice Address 1109 Fern Ln
Suffolk
VA 23434-2547
Practice Telephone 7575351723
Practice Fax Number 8447199024
Mailing Telephone 7575351723
Mailing Fax Number 8447199024
Enumeration Date 2014-07-19
Last Update Date 2016-06-20
Authorized Official Name MRS. MELISSA FEARN SHEPSKI (PRESIDENT/BCBA)
Authorized Official Telephone 7575351723
Authorized Official Credential M.A. ABA, BCBA,L
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst 0134000061 VA Behavioral Health & Social Service Providers

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities Spectrum Behavioral Consulting LLC 1109 Fern Lane, Suffolk, Virginia 23434

Office Location

Street Address 1109 FERN LN
City SUFFOLK
State VA
Zip Code 23434-2547

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1730660952 Latrese L Riddick Driver 418 Jackson St, Suffolk, VA 23434 2018-08-25
1114411279 Percilla D Zeno Community Health Worker 102 Niblick Cir, Suffolk, VA 23434 2018-06-21
1437652765 Aprele Gaddie Health Educator 2769 Godwin Boulevard, Suffolk, VA 23434 2018-03-13
1598284283 Domonic Teheran Scott Driver 102 Brewer Ave, Suffolk, VA 23434 2017-09-13
1578089397 Nakia Shantel Francis Nurse Practitioner 2970 Godwin Blvd, Suite 320, Suffolk, VA 23434 2017-08-15
1679093009 Daisy Mae Aba, LLC Behavioral Analyst 3212 Clearcreek Rd., Suffolk, VA 23434 2017-06-27
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316547516 Thrive Behavioral Consulting, LLC Behavioral Analyst 204 Reservoir Ln, Suffolk, VA 23434-4456 2020-10-27
1386132363 Branchaud Behavioral Therapy Behavioral Analyst 5776 Greenwood Rd, Suffolk, VA 23437-9252 2018-04-25
1679093009 Daisy Mae Aba, LLC Behavioral Analyst 3212 Clearcreek Rd., Suffolk, VA 23434 2017-06-27
1255784856 Brenda Bollenberg Behavioral Analyst 1055 Bay Breeze Dr, Suffolk, VA 23435-3274 2016-07-19
1619350071 Emily Hillard Grimsley Behavioral Analyst 856 Normandy Dr, Suffolk, VA 23434-2934 2015-07-02
1255718565 Allison Kuhn Behavioral Analyst 6733 Burbage Lake Cir, Suffolk, VA 23435-2905 2015-05-06
1366835985 Heather Rochford Behavioral Analyst 1903 Waters Edge Ln, Suffolk, VA 23435-2856 2015-03-05
1588820260 Kristin Helgerson Frigelj Behavioral Analyst 6420 Olde Bullocks Cir, Suffolk, VA 23435-2923 2008-08-01
1326499823 Joanna Sue Santiago Behavioral Analyst 6420 Olde Bullocks Cir, Suffolk, VA 23435-2923 2016-06-27
1710336557 180 Behavioral Consulting, LLC Behavioral Analyst 6733 Burbage Lake Cir, Suffolk, VA 23435-2905 2016-06-10
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City SUFFOLK
Zip Code 23434

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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