MEDICARE: ATHANIEL PATRICK SPICER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	RBT-25425004	VA

General Provider Information

NPI Number	:	1538016142
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ATHANIEL PATRICK SPICER

Provider Business Mailing Address
First Line	:	9789 PHAIR WAY
Second Line	:
City	:	MANASSAS
State	:	VA
Zip	:	20110-7859
Country	:	US
Telephone Number	:	571-535-2344
Fax Number	:

Provider Business Practice Location Address
First Line	:	9789 PHAIR WAY
Second Line	:
City	:	MANASSAS
State	:	VA
Zip	:	20110-7859
Country	:	US
Telephone Number	:	571-535-2344
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/12/2026
Last Update Date	:	03/12/2026

Similar Medicare Providers

1144982885 — LARRY HAYGOOD
Practice Location Address:

9789 PHAIR WAY
MANASSAS, VA
20110-7859

Practice Phone: 571-535-2344
Practice Fax:

1497601033 — EMELY JEANNETTE VEGA
Practice Location Address:

9789 PHAIR WAY
MANASSAS, VA
20110-7859

Practice Phone: 571-535-2344
Practice Fax:

1861356370 — MS. SARAH ROSSMAN
Practice Location Address:

9789 PHAIR WAY
MANASSAS, VA
20110-7859

Practice Phone: 855-782-7822
Practice Fax:

1134463292 — MRS. ANUP KANG MANES ANP
Practice Location Address:

8640 SUDLEY RD STE 201
MANASSAS, VA
20110-4404

Practice Phone: 703-368-6819
Practice Fax: 703-368-0203

1316669435 — YOOJIN KWON FNP-BC
Practice Location Address:

8569 SUDLEY RD STE B
MANASSAS, VA
20110-3866

Practice Phone: 703-257-7749
Practice Fax: 855-254-4529

1407480643 — PRIYA CHADDAH PA
Practice Location Address:

9378 FORESTWOOD LN STE E
MANASSAS, VA
20110-4742

Practice Phone: 703-361-7341
Practice Fax:

Directions to “ ATHANIEL PATRICK SPICER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.