Individual provider Active NPI

Khloe Alanna Spors, MA BCBA

  • Behavior Analyst
  • Cameron, WI
National Provider Identifier
1750174314
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1399-140 Issued in WI
Practice address
221 Birch Ave
Cameron, WI 54822-8717
Phone
(715) 600-3432
NPI assigned
May 27, 2025
Last updated
May 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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 1399-140 WI Primary

Addresses

Primary practice location

221 Birch Ave
Cameron, WI 54822-8717

Mailing address

221 Birch Ave
Cameron, WI 54822-8717
Phone (715) 600-3432

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1399-140WIMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Dreamship Center, Inc. Behavior Analyst CurrentSince Jun 3, 2025 Accepting new patients

Locations

221 Birch Ave
Cameron, WI 54822
Phone (715) 600-3432

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1748304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1750174314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 BIRCH AVE",
            "city": "CAMERON",
            "state": "WI",
            "postal_code": "548228717",
            "telephone_number": "715-600-3432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 BIRCH AVE",
            "city": "CAMERON",
            "state": "WI",
            "postal_code": "548228717",
            "telephone_number": "715-600-3432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPORS",
        "first_name": "KHLOE",
        "middle_name": "ALANNA",
        "credential": "MA BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-27",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WI",
            "license": "1399-140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cameron, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; 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.