Laura Spencer, RBT
Individual provider Active NPI Behavior Technician · Hahira, GA
NPI 1508615907 · NPPES record last updated May 16, 2024
Key facts
- NPI
- 1508615907
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-24-325725 (GA)
- Practice address
- 4110 Cottage Heights Rd
Hahira, GA 31632-3179 - Phone
- (229) 539-1322
- NPI assigned
- May 16, 2024
- Sex
- Female
- Sole proprietor
- No
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-24-325725 | GA | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-24-325725 | GA | Yes |
Addresses
Primary practice location
4110 Cottage Heights Rd
Hahira, GA 31632-3179
Mailing address
4110 Cottage Heights Rd
Hahira, GA 31632-3179
Phone (229) 539-1322
Other providers in Hahira, GA
- Sle-Aprn LLC
- Deerika Smith
- South Health District
- Southern Neurodiagnostics LLC
- Southwestern State Hospital
- Destiny Stalvey
- Amanda Stankiewicz
- Gloria Shavonda Stanley
- Ste Counseling Services, Inc.
- Laura Swails
All providers in Hahira, GA · Behavior Technician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2024. 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.