Kelley Michele Sparks

NPI #1518453216 in Irving, Texas

Provider Information

NPI Number: 1518453216
Entity Type: Individual
Name: Kelley Michele Sparks
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 5, 2018
Last Updated: Jul 5, 2018

Practice Location

Address: 400 E ROYAL LN BLDG 3
City: Irving
State: Texas
ZIP Code: 75039-3540
Phone: (855) 832-6727

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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