Edyth Spera

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

2013044241 Issued in MO

Practice address

2808 S Picher Ave
Joplin, MO 64804-1645

Phone

(417) 347-7850

Fax

(417) 347-7259

NPI assigned

Apr 1, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Edyth Wooldridge Former name

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": "1301616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545868800000",
    "number": "1679862445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2526",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648032526",
            "telephone_number": "417-347-7850",
            "fax_number": "417-347-7259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 S PICHER AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041645",
            "telephone_number": "417-347-7850",
            "fax_number": "417-347-7259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPERA",
        "first_name": "EDYTH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-01",
        "last_updated": "2018-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "2013044241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDYTH",
            "last_name": "WOOLDRIDGE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alyssa Brianna Spencer
• Crystal Denise Spencer, LCSW
• Hope Spencer
• Jordan Spencer
• Jordan Elise Spencer, MD
• Megan Danielle Spiering, NP
• Megan Spivey
• Sharlyn M Splean, APRN
• Caitlin Spohnholtz, PA
• Oliver Sprenkle, DC

• Behavior Analyst in Joplin, MO
• Providers in Joplin, MO by specialty
• Behavior Analyst in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2018; 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.