Active NPI
Shane Spiker, BCBA
- Behavior Analyst
- Ormond Beach, FL
National Provider Identifier
1730525270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-12-12386
- Practice address
- 64 Mayfield Ter
Ormond Beach, FL 32174-8224 - Phone
- (386) 852-0217
- NPI assigned
- May 10, 2013
- Last updated
- May 10, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-12-12386 | FL | Primary |
Addresses
Primary practice location
64 Mayfield Ter
Ormond Beach, FL 32174-8224
Mailing address
64 Mayfield Ter
Ormond Beach, FL 32174-8224
Phone (386) 852-0217
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": "1368144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368144000000",
"number": "1730525270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 MAYFIELD TER",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321748224",
"telephone_number": "386-852-0217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 MAYFIELD TER",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321748224",
"telephone_number": "386-852-0217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPIKER",
"first_name": "SHANE",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-10",
"last_updated": "2013-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-12-12386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ormond Beach, FL
- Specialty Surgery Partners Center of Florida, LLC (Alliance Specialty Surgical Center)
- Specialtycarerx LLC
- Hannah Speece, AUD
- Crystal Madonna Speller, LMT
- Alan David Spertus, MD
- Spine Soldier Chiropractic Clinics
- Spoli Corp (Bethesda Manor)
- Spoli Investments Inc
- Mark Sprangers, MD
- Sprouts ABA for Adults LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.