| Spark Aba Llc | |
|
2120 Hampden Blvd Reading PA 19604-1380 | |
| (888) 444-8157 | |
| Not Available |
| Full Name | Spark Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2120 Hampden Blvd, Reading, Pennsylvania |
| Authorized Official Name and Position | Erica Maka (DIRECTOR) |
| Authorized Official Contact | 8884448157 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spark Aba Llc 2120 Hampden Blvd Reading PA 19604-1380 Ph: () - | Spark Aba Llc 2120 Hampden Blvd Reading PA 19604-1380 Ph: (888) 444-8157 |
| NPI Number | 1083251722 |
|---|---|
| Provider Enumeration Date | 12/02/2019 |
| Last Update Date | 12/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083251722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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