MEDICARE: AMARI 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

General Provider Information

NPI Number	:	1821696998
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMARI SPICER

Provider Business Mailing Address
First Line	:	630 S RANCHO DR STE A
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-4849
Country	:	US
Telephone Number	:	702-998-9505
Fax Number	:

Provider Business Practice Location Address
First Line	:	1620 COLORADO AVE
Second Line	:
City	:	TURLOCK
State	:	CA
Zip	:	95382-2713
Country	:	US
Telephone Number	:	877-828-8476
Fax Number	:

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

Provider Enumeration Date	:	10/12/2020
Last Update Date	:	06/01/2026

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Directions to “ AMARI SPICER ” Practice Location

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