Individual
SPENCER SPEAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
2470 WINDY HILL RD SE, MARIETTA, GA 30067-8613
(404) 668-1772
Mailing address
1840 COURT BRE DR, WINDER, GA 30680-4666
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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