Healthcare Provider Details

I. General information

NPI: 1669760807
Provider Name (Legal Business Name): JAIME SPRAY PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2011
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

940 S COAST DR STE 225
COSTA MESA CA
92626-7757
US

IV. Provider business mailing address

PO BOX 8191
FOUNTAIN VALLEY CA
92728-8191
US

V. Phone/Fax

Practice location:
  • Phone: 949-743-1457
  • Fax: 949-274-8299
Mailing address:
  • Phone: 559-679-0458
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberRPTT32
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: