Mary Kathryn Spencer
Behavior Technician in Atlanta, GA. Individual provider (NPI-1).
NPI number1265005698
StatusActive
Last updated in NPPESJul 22, 2021
Details
- NPI
- 1265005698
- Entity type
- Individual (NPI-1)
- Name
- Mary Kathryn Spencer
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 22, 2021
- Certification date
- Jul 22, 2021
- Last updated
- Jul 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1215 Hightower Trl Ste B120Atlanta, GA 30350-6205
Phone 866-523-4268
Mailing address
Po Box 399318San Francisco, CA 94139-9318
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