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Shantina Spencer

Behavior Technician in Fuquay Varina, NC. Individual provider (NPI-1).

NPI number1154209484
StatusActive
Last updated in NPPESAug 25, 2025

Details

NPI
1154209484
Entity type
Individual (NPI-1)
Name
Shantina Spencer
Sex
Female
Sole proprietor
No
Enumeration date
Aug 25, 2025
Certification date
Aug 25, 2025
Last updated
Aug 25, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

1441 E Broad St
Fuquay Varina, NC 27526-1968

Phone 855-832-6727

Mailing address

7108 S Kanner Hwy
Stuart, FL 34997-7462

Phone 855-832-6727

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