Spencer Bruce, BCBA
Behavior Analyst in Hampstead, NC. Individual provider (NPI-1).
NPI number1316624604
StatusActive
Last updated in NPPESJun 29, 2023
Details
- NPI
- 1316624604
- Entity type
- Individual (NPI-1)
- Name
- Spencer Bruce
- Credential
- BCBA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 29, 2023
- Certification date
- Jun 29, 2023
- Last updated
- Jun 29, 2023
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 |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-23-66382 | NC | Yes |
Practice location
16717 Us Highway 17Hampstead, NC 28443-3696
Phone 910-599-2230
Mailing address
1349 Spring Valley RdWilmington, NC 28405-1220
Phone 919-599-8826
Is something wrong?
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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