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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