| Spark Kids Academy Llc | |
|
9100 Conroy Windermere Rd Ste 200 Windermere FL 34786-8431 | |
| (407) 692-4644 | |
| Not Available |
| Full Name | Spark Kids Academy Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 9100 Conroy Windermere Rd Ste 200, Windermere, Florida |
| Authorized Official Name and Position | Anielys Puente (OWNER) |
| Authorized Official Contact | 4076924644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spark Kids Academy Llc 9100 Conroy Windermere Rd Ste 200 Windermere FL 34786-8431 Ph: (407) 692-4644 | Spark Kids Academy Llc 9100 Conroy Windermere Rd Ste 200 Windermere FL 34786-8431 Ph: (407) 692-4644 |
| NPI Number | 1568139756 |
|---|---|
| Provider Enumeration Date | 08/25/2021 |
| Last Update Date | 08/25/2021 |
| Certification Date | 08/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568139756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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