NPI 1033683644

Ieshia Spencer, RBT

Practitioner Behavior Technician Casselberry, FL

Practice location

Address: 148 Wilshire Blvd, Casselberry, FL 32707-5372
Phone: (321) 972-4039

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-19-74989 (FL)

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Registry record

NPI: 1033683644
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Jan 2019
Record last updated: 16 Jan 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.