| Provider / Organization | NPI | Date Certified |
|---|---|---|
| BRAXTON KENDALL SPENCER | 1992442636 | 2022-05-15 |
Braxton Kendall Spencer is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1992442636. Registration indicates Braxton Kendall Spencer is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Behavioral Analyst (Behavioral Health & Social Service Providers, Behavioral Analyst) (Behavioral Analyst, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Behavioral Analyst, Behavioral Health & Social Service Providers)
| Entity Type | Individual |
| Provider Name | Braxton Kendall Spencer |
| Practice Office Address | 27990 SHERMAN RD MENIFEE, CA US |
| Practice Office Telephone | 9512089135 |
| Mailing Address | 27990 SHERMAN RD MENIFEE, CA 925859155 US |
| Business Telephone | 9512089135 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 27990 Sherman Rd | Menifee, CA 925859155 | 9512089135 |
| Code | Practice | License No State |
|---|---|---|
| 103K00000X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Behavioral Analyst Behavioral Health & Social Service Providers Behavioral Analyst Behavioral Analyst Behavioral Health/Substance Abuse/Psychiatry Behavioral Analyst Behavioral Health & Social Service Providers |