Provider Demographics
NPI:1629434832
Name:SPENCER, HALLEY (BCBA)
Entity Type:Individual
Prefix:
First Name:HALLEY
Middle Name:
Last Name:SPENCER
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7010 W 107TH ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-1810
Mailing Address - Country:US
Mailing Address - Phone:913-802-2227
Mailing Address - Fax:913-273-0235
Practice Address - Street 1:7010 W 107TH ST
Practice Address - Street 2:SUITE 210
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-1810
Practice Address - Country:US
Practice Address - Phone:913-802-2227
Practice Address - Fax:913-273-0235
Is Sole Proprietor?:No
Enumeration Date:2016-01-05
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst