Maya Symone Spencer
Behavior Technician in Fresno, CA. Individual provider (NPI-1).
NPI number1083172993
StatusActive
Last updated in NPPESMar 26, 2019
Details
- NPI
- 1083172993
- Entity type
- Individual (NPI-1)
- Name
- Maya Symone Spencer
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 10, 2019
- Last updated
- Mar 26, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | F7813527 | CA | Yes |
Practice location
1690 W Shaw Ave Ste 102Fresno, CA 93711-3518
Phone 559-255-5900
Mailing address
21600 Oxnard St Ste 1800Woodland Hills, CA 91367-7807
Phone 818-345-2345
Other practice locations
352 Glenbriar Cir
Tracy, CA 95377-7051
Tracy, CA 95377-7051
Phone 209-914-9728
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