Active NPI
Spice Williams
- Behavior Technician
- Long Beach, CA
National Provider Identifier
1386392462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 2601 Marber Ave
Long Beach, CA 90815-1137 - Phone
- (562) 377-1027
- NPI assigned
- Mar 16, 2022
- Sex
- Female
- 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
2601 Marber Ave
Long Beach, CA 90815-1137
Mailing address
126 W Olive Ave
Monrovia, CA 91016-3410
Phone (626) 239-3060
Other practice location 1
18726 S Western Ave Ste 408
Gardena, CA 90248-3858
Phone (424) 287-5677
Other practice location 2
126 W Olive Ave
Monrovia, CA 91016-3410
Phone (626) 239-3060
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diversify BX LLC | Current | Accepting new patients | |
| Behavior Frontiers, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Long Beach, CA
- NPI 1578157236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648425600000",
"number": "1386392462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 W OLIVE AVE",
"city": "MONROVIA",
"state": "CA",
"postal_code": "910163410",
"telephone_number": "626-239-3060",
"fax_number": "855-568-2494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 MARBER AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908151137",
"telephone_number": "562-377-1027"
}
],
"practiceLocations": [
{
"address_1": "18726 S Western Ave Ste 408",
"address_purpose": "LOCATION",
"city": "Gardena",
"state": "CA",
"postal_code": "902483858",
"country_code": "US",
"telephone_number": "424-287-5677",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "126 W Olive Ave",
"address_purpose": "LOCATION",
"city": "Monrovia",
"state": "CA",
"postal_code": "910163410",
"country_code": "US",
"telephone_number": "626-239-3060",
"fax_number": "855-568-2494",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "SPICE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-16",
"last_updated": "2022-03-28",
"certification_date": "2022-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.