Trevor Alan Sparks

NPI #1316434459 in North Pole, Alaska

Provider Information

NPI Number: 1316434459
Entity Type: Individual
Name: Trevor Alan Sparks
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 14, 2018
Last Updated: Apr 14, 2018

Practice Location

Address: 960 LAKLOEY DR
City: North Pole
State: Alaska
ZIP Code: 99705-5356
Phone: (907) 978-5766

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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