NPI 1295280568 · live from the CMS NPI Registry
Amanda Sparks, RBT
Behavior Analyst in Eagle River, AK. National Provider Identifier 1295280568, active.
NPI record
| NPI | 1295280568 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 16941 N Eagle River Loop Rd, Eagle River, AK 99577 |
| Practice phone | 907-726-5330 |
| Mailing address | 17738 James Way Apt C, Eagle River, AK 99577 |
| Enumerated | August 16, 2016 |
| Last updated | August 16, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | RBT-14-00136 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.