Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Spencer Edmund Moore

Individual provider Behavior Technician · NPI 1831604396

Spencer Edmund Moore is a Behavior Technician in Grand Rapids, Michigan. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

1260 Ekhart St NE
Grand Rapids, MI 49503-1380
Phone: (616) 942-2110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1831604396
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 6, 2017
Last updated in NPPESDecember 6, 2017

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