Amanda Sparks, RBT
Behavior Analyst in Eagle River, AK. Individual provider (NPI-1).
NPI number1295280568
StatusActive
Last updated in NPPESAug 16, 2016
Details
- NPI
- 1295280568
- Entity type
- Individual (NPI-1)
- Name
- Amanda Sparks
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 16, 2016
- Last updated
- Aug 16, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | RBT-14-00136 | AK | Yes |
Practice location
16941 N Eagle River Loop RdEagle River, AK 99577-7802
Phone 907-726-5330
Mailing address
17738 James Way Apt CEagle River, AK 99577-9254
Phone 801-884-6709
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