Individual provider Active NPI

Alyse Renee Spafford, BCBA

  • Behavior Analyst
  • Forked River, NJ
National Provider Identifier
1225343544
Registry record updated Aug 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-09-5577 Issued in NJ
Practice address
1224 Andover Rd
Forked River, NJ 08731-5837
Phone
(732) 779-9362
Fax
(609) 242-8133
NPI assigned
Aug 11, 2010
Last updated
Aug 11, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-09-5577 NJ Primary

Addresses

Primary practice location

1224 Andover Rd
Forked River, NJ 08731-5837

Mailing address

1224 Andover Rd
Forked River, NJ 08731-5837
Phone (732) 779-9362

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": "1281484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281484800000",
    "number": "1225343544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 ANDOVER RD",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087315837",
            "telephone_number": "732-779-9362",
            "fax_number": "609-242-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 ANDOVER RD",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087315837",
            "telephone_number": "732-779-9362",
            "fax_number": "609-242-8133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAFFORD",
        "first_name": "ALYSE",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-11",
        "last_updated": "2010-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "1-09-5577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forked River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; 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.