| Spark Therapy Center Llc | |
|
4851 Tamiami Trl N Ste 200 Naples FL 34103-3098 | |
| (305) 318-2559 | |
| Not Available |
| Full Name | Spark Therapy Center Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4851 Tamiami Trl N Ste 200, Naples, Florida |
| Authorized Official Name and Position | Noria De Los Angeles Garcia (PRESIDENT) |
| Authorized Official Contact | 3053182559 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spark Therapy Center Llc 4851 Tamiami Trl N Ste 200 Naples FL 34103-3098 Ph: (305) 318-2559 | Spark Therapy Center Llc 4851 Tamiami Trl N Ste 200 Naples FL 34103-3098 Ph: (305) 318-2559 |
| NPI Number | 1104526904 |
|---|---|
| Provider Enumeration Date | 03/09/2023 |
| Last Update Date | 03/09/2023 |
| Certification Date | 03/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104526904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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