Individual
MR. ADAM ANDREW SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
2300 LAKEVIEW PKWY STE 700, ALPHARETTA, GA 30009-9066
(678) 694-1744
(678) 530-1018
Mailing address
2300 LAKEVIEW PKWY STE 700, ALPHARETTA, GA 30009-9066
(678) 694-1744
(678) 530-1018
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-05-2446
GA
171000000X
Military Health Care Provider
1-05-2446
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14213808
CAQH
—
05
—
3408205
—
NC
Enumeration date
04/17/2008
Last updated
08/20/2020
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