Individual provider Active NPI

Taylor Leigh Spell, MA

  • Behavior Analyst
  • Columbia, SC
National Provider Identifier
1891313995
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-23-64496 Issued in SC
Practice address
3924 Forest Dr Ste 3
Columbia, SC 29204-4148
Phone
(803) 258-0533
Fax
(803) 929-7944
NPI assigned
Jul 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-18-52654 NC
Behavior Analyst 103K00000X 1-23-64496 SC Primary

Addresses

Primary practice location

3924 Forest Dr Ste 3
Columbia, SC 29204-4148

Mailing address

221 Longtown Rd W
Blythewood, SC 29016-8184
Phone (803) 920-8834

Other practice location 1

10 Cardington Ct
Columbia, SC 29209-3241
Phone (053) 380-3258

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
RBT-18-52654NCMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1891313995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 LONGTOWN RD W",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290168184",
            "telephone_number": "803-920-8834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3924 FOREST DR STE 3",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292044148",
            "telephone_number": "803-258-0533",
            "fax_number": "803-929-7944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Cardington Ct",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292093241",
            "country_code": "US",
            "telephone_number": "053-380-3258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPELL",
        "first_name": "TAYLOR",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-06",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NC",
            "license": "RBT-18-52654",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "SC",
            "license": "1-23-64496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.