Spencer Blanchard
Behavior Technician in Lawton, MI. Individual provider (NPI-1).
NPI number1902531817
StatusActive
Last updated in NPPESJul 14, 2025
Details
- NPI
- 1902531817
- Entity type
- Individual (NPI-1)
- Name
- Spencer Blanchard
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 24, 2022
- Certification date
- Jul 14, 2025
- Last updated
- Jul 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1040 Point WayLawton, MI 49065-8797
Phone 734-780-1933
Mailing address
7108 S Kanner HwyStuart, FL 34997-7462
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