Spencer Elizabeth Clevinger

Individual provider Active NPI Behavior Technician · Cameron, NC

NPI 1770108243 · NPPES record last updated Jun 10, 2020

Key facts

NPI
1770108243
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
185 Mittie Haddock Dr
Cameron, NC 28326-9379
Phone
(800) 991-6070
NPI assigned
Jun 10, 2020
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

185 Mittie Haddock Dr
Cameron, NC 28326-9379

Mailing address

316 Mid Valley Ctr # 186
Carmel, CA 93923-8516

Other providers in Cameron, NC

All providers in Cameron, NC · Behavior Technician in North Carolina

Sources for this page

Verify at the official NPI Registry.