Healthcare Provider Details

I. General information

NPI: 1235702341
Provider Name (Legal Business Name): SYSTEMIC BEHAVIORAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2021
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2880 W OAKLAND PARK BLVD STE 220
OAKLAND PARK FL
33311-1350
US

IV. Provider business mailing address

2880 W OAKLAND PARK BLVD STE 220
OAKLAND PARK FL
33311-1350
US

V. Phone/Fax

Practice location:
  • Phone: 954-605-4200
  • Fax:
Mailing address:
  • Phone: 954-605-4200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: DR. JOELY L SPENCER
Title or Position: CEO, OWNER
Credential: FL MT 3158
Phone: 305-741-0071