Spake, Todd Randall

Spake, Todd Randall is an individual health care provider with primary practice located at 9559 Highway 5 Ste 601 , Douglasville GA 30135-1572. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Spake, Todd Randall can be contacted via phone (470) 632-5276.

Contact Information

Primary practice address
9559 Highway 5 Ste 601 Douglasville GA 30135-1572
Phone: (470) 632-5276
Fax: (317) 520-8200
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1386262236
LBN Legal business name Spake, Todd Randall
Credentials BS
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2020
Last updated Jul 8th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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