Spencer Blanchard

Individual provider Active NPI Behavior Technician · Lawton, MI

NPI 1902531817 · NPPES record last updated Jul 14, 2025

Key facts

NPI
1902531817
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1040 Point Way
Lawton, MI 49065-8797
Phone
(734) 780-1933
NPI assigned
Jul 24, 2022
Sex
Male
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

1040 Point Way
Lawton, MI 49065-8797

Mailing address

7108 S Kanner Hwy
Stuart, FL 34997-7462

Other providers in Lawton, MI

All providers in Lawton, MI · Behavior Technician in Michigan

Sources for this page

Verify at the official NPI Registry.