Justin Lee Speer, BA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

8282 28TH CT NE Ste a
Lacey, WA 98516-7162

Phone

(360) 915-6868

NPI assigned

Nov 10, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Basics Northwest

  • Community/Behavioral Health Agency
  • Lacey, WA
  • NPI 1396179545
  NPD (past)

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

{
    "created_epoch": "1510272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510272000000",
    "number": "1215440391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8515 ARMSTRONG RD SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985127630",
            "telephone_number": "360-774-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8282 28TH CT NE STE A",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985167162",
            "telephone_number": "360-915-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEER",
        "first_name": "JUSTIN",
        "middle_name": "LEE",
        "credential": "BA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-10",
        "last_updated": "2017-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn June Monge Southard, LMT
• Stacey M Sowders
• Chris John Spaccarotelli
• Stephanie Michelle Sparks, DPT
• Ashlee R Speed
• Susan Speidel
• Alexa Sperry
• Spineaid Chiropractic PLLC
• Wyatt Spithaler, DPT
• Spurgeon Creek Psychiatry PLLC

• Behavior Analyst in Lacey, WA
• Providers in Lacey, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2017; 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.