IndividualActive
Spencer Fetterman
NPI 1780542472 · Behavior Technician · Lake Forest, CA
Spencer Fetterman is a Behavior Technician provider in Lake Forest, CA (NPI 1780542472).
Provider details
- NPI number
- 1780542472
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(47/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
23701 Birtcher Dr
Lake Forest, CA 92630-1772
Phone: (855) 581-0100
Street-level locationGet directions
Mailing address
23701 Birtcher Dr
Lake Forest, CA 92630-1772
Registry dates
- Enumerated
- 2026-01-12
- Last updated
- 2026-01-12
- Certified
- 2026-01-12
Frequently asked questions
- What is Spencer Fetterman's NPI number?
- Spencer Fetterman's National Provider Identifier (NPI) is 1780542472, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Spencer Fetterman's specialty?
- Spencer Fetterman is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Spencer Fetterman located?
- Spencer Fetterman's practice location on file with NPPES is 23701 Birtcher Dr, Lake Forest, CA 92630-1772.
- What is Spencer Fetterman's phone number?
- The practice phone number listed in the NPPES registry for Spencer Fetterman is (855) 581-0100.
- Is Spencer Fetterman's NPI active?
- Yes — Spencer Fetterman's NPI (1780542472) is active in the NPPES registry as of the last update on 2026-01-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.