Individual
ANDREA SPENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1160 N DUTTON AVE STE 140, SANTA ROSA, CA 95401-4652
(855) 223-7123
Mailing address
PO BOX 33568, SAN DIEGO, CA 92163-3568
(855) 223-7123
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11519040
CA
Other
Enumeration date
09/02/2015
Last updated
11/21/2025
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