Spencer, Adam Andrew

Spencer, Adam Andrew is an individual health care provider with primary practice located at 2300 Lakeview Pkwy Ste 700 , Alpharetta GA 30009-9066. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is his primary health care specialty. Spencer, Adam Andrew can be contacted via phone (678) 694-1744.

Contact Information

Primary practice address
2300 Lakeview Pkwy Ste 700 Alpharetta GA 30009-9066
Phone: (678) 694-1744
Fax: (678) 530-1018
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X 1-05-2446
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-05-2446 Georgia

Profile Details

NPI number 1457525727
LBN Legal business name Spencer, Adam Andrew
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2008
Last updated Aug 20th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457525727 NPPES
Other 14213808 CAQH
MEDICAID 3408205 CAQH

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