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Individual

DEVIN SETH SPENCER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1306 ELLIS ST, BELLINGHAM, WA 98225-4902
(360) 997-0064
Mailing address
1306 ELLIS ST, BELLINGHAM, WA 98225-4902
(360) 621-1439

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA61553853
WA
106S00000X
Behavior Technician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BA61553853
WASHINGTON DEPARTMENT OF HEALTH
WA
05
PENDING
WA
Enumeration date
09/28/2018
Last updated
03/24/2025
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