| Spark Aba Therapy Llc | |
|
7100 Camino Real Ste 404 Boca Raton FL 33433-5510 | |
| (954) 282-9380 | |
| Not Available |
| Full Name | Spark Aba Therapy Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 7100 Camino Real Ste 404, Boca Raton, Florida |
| Authorized Official Name and Position | David Kovacs (CFO) |
| Authorized Official Contact | 9542829380 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spark Aba Therapy Llc 7100 Camino Real Ste 404 Boca Raton FL 33433-5510 Ph: (954) 282-9380 | Spark Aba Therapy Llc 7100 Camino Real Ste 404 Boca Raton FL 33433-5510 Ph: (954) 282-9380 |
| NPI Number | 1942940895 |
|---|---|
| Provider Enumeration Date | 03/30/2022 |
| Last Update Date | 04/01/2022 |
| Certification Date | 04/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942940895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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