Healthcare Provider Details

I. General information

NPI: 1891643201
Provider Name (Legal Business Name): HATTIE SPENCER BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CATE SPENCER BCBA

II. Dates (important events)

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

III. Provider practice location address

6001 JACKSON SQUARE BLVD STE 400
LA VERGNE TN
37086-2783
US

IV. Provider business mailing address

6001 JACKSON SQUARE BLVD STE 400
LA VERGNE TN
37086-2783
US

V. Phone/Fax

Practice location:
  • Phone: 731-234-2257
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number2176
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: