Individual provider Active NPI

Barbara Spencer, BCBA

  • Behavior Analyst
  • Port Matilda, PA
National Provider Identifier
1497154884
Registry record updated Aug 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
1695 Halfmoon Valley Rd
Port Matilda, PA 16870-8707
Phone
(814) 571-4225
NPI assigned
Aug 21, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2014

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 Primary

Addresses

Primary practice location

1695 Halfmoon Valley Rd
Port Matilda, PA 16870-8707

Mailing address

1695 Halfmoon Valley Rd
Port Matilda, PA 16870-8707
Phone (814) 571-4225

Other identifiers 1

IdentifierTypeStateIssuer
1041739OtherBOARD OF APPLIED BEHAVIOR CERTIFICATION

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

NPI Registry JSON

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408579200000",
    "number": "1497154884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 HALFMOON VALLEY RD",
            "city": "PORT MATILDA",
            "state": "PA",
            "postal_code": "168708707",
            "telephone_number": "814-571-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 HALFMOON VALLEY RD",
            "city": "PORT MATILDA",
            "state": "PA",
            "postal_code": "168708707",
            "telephone_number": "814-571-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "BARBARA",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-21",
        "last_updated": "2014-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF APPLIED BEHAVIOR CERTIFICATION",
            "identifier": "1041739",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Matilda, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; 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.