Provider Demographics
NPI:1134873169
Name:SPENCER, DAVID J (RBT)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:J
Last Name:SPENCER
Suffix:
Gender:M
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:502 KEAWE ST APT 417
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-3156
Mailing Address - Country:US
Mailing Address - Phone:808-348-5789
Mailing Address - Fax:
Practice Address - Street 1:502 KEAWE ST APT 417
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-3156
Practice Address - Country:US
Practice Address - Phone:808-348-5789
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-08
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIRBT-20-136249106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician