Individual provider Active NPI

Sharon Kay Willey Spurrier, BCBA, LBA

  • Behavior Analyst
  • Berlin, MD
National Provider Identifier
1477066041
Registry record updated Nov 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
LBA369 Issued in MD
Practice address
10514 Racetrack Rd Ste G
Berlin, MD 21811-3241
Phone
(410) 973-2301
NPI assigned
Nov 6, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2017

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 LBA369 MD Primary

Addresses

Primary practice location

10514 Racetrack Rd Ste G
Berlin, MD 21811-3241

Mailing address

10514 Racetrack Rd Ste G
Berlin, MD 21811-3241
Phone (410) 973-2301

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

State licenses

LicenseStateTypeSpecialty
LBA369MDMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean Front Counseling Behavior Analyst Current Accepting new patients
Ocean Front Counseling Behavior Analyst Current Accepting new patients

Locations

10514 Racetrack Rd
Ste G
Berlin, MD 21811
Phone (410) 973-2301

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.

NPI Registry JSON

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509926400000",
    "number": "1477066041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10514 RACETRACK RD STE G",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218113241",
            "telephone_number": "410-973-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10514 RACETRACK RD STE G",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218113241",
            "telephone_number": "410-973-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLEY SPURRIER",
        "first_name": "SHARON",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-06",
        "last_updated": "2017-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MD",
            "license": "LBA369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2017; 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.