Tahjae Jewel Donyette Spruill

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

106S00000X Issued in CA

Practice address

26720 Ynez CT
Temecula, CA 92591-4659

Phone

(951) 813-4034

NPI assigned

Sep 23, 2019

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1427609239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36125 CREIGHTON AVE APT 28301",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925634530",
            "telephone_number": "267-908-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26720 YNEZ CT",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925914659",
            "telephone_number": "951-813-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRUILL",
        "first_name": "TAHJAE",
        "middle_name": "JEWEL DONYETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "106S00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bailey Sprague
• Russell Lloyd Sprague, MFT
• Eric David Spratt, D.C.
• Kimberley Ann Springer, NCSP
• Kristen Danielle Springsteen, LMFT
• Srey Pediatrics Medical Group PC
• Rothtida Srey, D.O.
• St Dominic Hospice and Palliative Care Inc
• Crystal Elizabeth St John, STUDENT
• Teresa Stafford

• Behavior Analyst in Temecula, CA
• Providers in Temecula, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; 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.