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NPI Code Detail

MEDICARE: SHAMYA SPENCER

MEDICARE: SHAMYA SPENCER
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1457210593
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAMYA SPENCER
Provider Business Mailing Address
First Line : 5900 WARM SPRINGS RD
Second Line :
City : COLUMBUS
State : GA
Zip : 31909-4362
Country : US
Telephone Number : 718-215-5311
Fax Number : 718-865-5165
Provider Business Practice Location Address
First Line : 5900 WARM SPRINGS RD
Second Line :
City : COLUMBUS
State : GA
Zip : 31909-4362
Country : US
Telephone Number : 718-215-5311
Fax Number : 718-865-5165
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2026
Last Update Date : 01/15/2026

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Directions to “ SHAMYA SPENCER ” Practice Location

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