Joanna Rose Specht
Individual provider Active NPI Behavior Analyst · Towner, CO
NPI 1356789689 · NPPES record last updated Jun 9, 2013
Key facts
- NPI
- 1356789689
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 10345 County Road 78
Towner, CO 81071-9616 - Phone
- (620) 805-2342
- NPI assigned
- Jun 9, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
10345 County Road 78
Towner, CO 81071-9616
Mailing address
10345 County Road 78
Towner, CO 81071-9616
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.