Della Sparks

NPI #1972110419 in Kennett, Missouri

Provider Information

NPI Number: 1972110419
Entity Type: Individual
Name: Della Sparks
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 29, 2020
Last Updated: Sep 29, 2020

Practice Location

Address: 1201 ELY ST
City: Kennett
State: Missouri
ZIP Code: 63857-1336
Phone: (573) 888-5925

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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