Joel Spravzoff
Behavior Technician in Beaverton, OR. Individual provider (NPI-1).
NPI number1124489299
StatusActive
Last updated in NPPESAug 14, 2018
Details
- NPI
- 1124489299
- Entity type
- Individual (NPI-1)
- Name
- Joel Spravzoff
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 16, 2016
- Last updated
- Aug 14, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
| 103K00000X | Behavior Analyst | ABAIN10174815 | OR |
Practice location
6200 Sw Arctic DrBeaverton, OR 97005
Phone 503-224-2184
Mailing address
41521 W 11 Mile RdNovi, MI 48375-1803
Phone 248-299-0030
Other practice locations
6200 Sw Arctic Dr
Beaverton, OR 97005-9447
Beaverton, OR 97005-9447
Phone 503-224-2184
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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