Individual
STEPHANIE SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
6140 BEAL PL NW, SEABECK, WA 98380-8729
(360) 801-2539
Mailing address
6140 BEAL PL NW, SEABECK, WA 98380-8729
(360) 801-2539
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111524501
—
WA
Enumeration date
04/03/2017
Last updated
07/21/2022
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