Spencer Brumley
Individual provider Active NPI Behavior Technician · West Lafayette, IN
NPI 1497566152 · NPPES record last updated Jan 14, 2025
Key facts
- NPI
- 1497566152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-18-62183 (IN)
- Practice address
- 3482 McClure Ave
West Lafayette, IN 47906-4164 - Phone
- (765) 838-3547
- NPI assigned
- Jan 14, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-18-62183 | IN | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speech Pathways, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-18-62183 | IN | Yes |
Addresses
Primary practice location
3482 McClure Ave
West Lafayette, IN 47906-4164
Mailing address
360 Polk St
Greenwood, IN 46143-1623
Phone (765) 838-3547
Other providers in West Lafayette, IN
- Lisa M Brown
- Victoria Brown
- Zion Brown
- Alyssa Louise Browning
- Jennifer Brumley
- Janet Marie Brummett
- Emilee Bryant
- Ikeav Bryant
- Thanya Bulathsinhala
- Mark H Bunton
All providers in West Lafayette, IN · Behavior Technician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2025. 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.