Active NPI
Cody Spencer
- Behavior Technician
- Stanton, CA
National Provider Identifier
1033672167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 12235 Beach Blvd
Stanton, CA 90680-3939 - Phone
- (714) 202-0118
- NPI assigned
- Apr 6, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | CA | Primary |
Addresses
Primary practice location
12235 Beach Blvd
Stanton, CA 90680-3939
Mailing address
12235 Beach Blvd
Stanton, CA 90680-3939
Phone (714) 202-0118
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554508800000",
"number": "1033672167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12235 BEACH BLVD",
"city": "STANTON",
"state": "CA",
"postal_code": "906803939",
"telephone_number": "714-202-0118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12235 BEACH BLVD",
"city": "STANTON",
"state": "CA",
"postal_code": "906803939",
"telephone_number": "714-202-0118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "CODY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-06",
"last_updated": "2019-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stanton, CA
- Mason Van Siu, PHARM D.
- Carl Smith
- Socal Recovery Services LLC
- Jack Victor Souadjian Jr., CAODC 8760
- Southland Ambulance LLC (Southland Ambulance)
- Alan M Spohn
- Sri Sai Krish Institute
- St Anthony Hospice and Palliative Care, Inc.
- Stacey QT Le, OD Professional Optometry Corporation
- Stanton Pain & Reb Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.