| Spark Learning Llc | |
|
2517 Enfield Rd Austin TX 78703-3715 | |
| (512) 900-1425 | |
| Not Available |
| Full Name | Spark Learning Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2517 Enfield Rd, Austin, Texas |
| Authorized Official Name and Position | Kristen Rakun (DIRECTOR) |
| Authorized Official Contact | 5129001425 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spark Learning Llc 2517 Enfield Rd Austin TX 78703-3715 Ph: (512) 900-1425 | Spark Learning Llc 2517 Enfield Rd Austin TX 78703-3715 Ph: (512) 900-1425 |
| NPI Number | 1427304385 |
|---|---|
| Provider Enumeration Date | 07/30/2012 |
| Last Update Date | 09/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427304385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-12-10313 (Texas) | Primary |
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