Active NPI
Michael Joseph Spece, M.S.
- Behavior Analyst
- Saylorsburg, PA
National Provider Identifier
1316313703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-15-19044
- Practice address
- 171 Deer Trail Dr
Saylorsburg, PA 18353-8395 - Phone
- (570) 977-3869
- NPI assigned
- Aug 19, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-15-19044 | PA | Primary |
| Behavior Analyst | 103K00000X | BH002240 | PA |
Addresses
Primary practice location
171 Deer Trail Dr
Saylorsburg, PA 18353-8395
Mailing address
171 Deer Trail Dr
Saylorsburg, PA 18353-8395
Phone (570) 977-3869
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BH002240 | PA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439942400000",
"number": "1316313703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 DEER TRAIL DR",
"city": "SAYLORSBURG",
"state": "PA",
"postal_code": "183538395",
"telephone_number": "570-977-3869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 DEER TRAIL DR",
"city": "SAYLORSBURG",
"state": "PA",
"postal_code": "183538395",
"telephone_number": "570-977-3869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPECE",
"first_name": "MICHAEL",
"middle_name": "JOSEPH",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-08-19",
"last_updated": "2015-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": "1-15-19044",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": "BH002240",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saylorsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.