Spectrum Behavioral Consulting LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

0134000061 Issued in VA

Legal business name

SPECTRUM BEHAVIORAL CONSULTING LLC

Practice address

1109 Fern LN
Suffolk, VA 23434-2547

Phone

(757) 535-1723

Fax

(844) 719-9024

NPI assigned

Jul 19, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Melissa Fearn Shepski, M.A. ABA, BCBA,LBA

Title

President/Bcba

Phone

(757) 535-1723

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1405728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466380800000",
    "number": "1235546417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 FERN LN",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234342547",
            "telephone_number": "757-535-1723",
            "fax_number": "844-719-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 FERN LN",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234342547",
            "telephone_number": "757-535-1723",
            "fax_number": "844-719-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM BEHAVIORAL CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-19",
        "last_updated": "2016-06-20",
        "status": "A",
        "authorized_official_last_name": "SHEPSKI",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "FEARN",
        "authorized_official_title_or_position": "PRESIDENT/BCBA",
        "authorized_official_telephone_number": "757-535-1723",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A. ABA, BCBA,LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0134000061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Suffolk, VA
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• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.