Natalie C Sparks, M.A., B.C.B.A

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-13-13104 Issued in MI

Practice address

3435 W 96TH St
Indianapolis, IN 46268-1102

Phone

(317) 802-7447

Fax

(317) 802-7325

NPI assigned

Feb 28, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Access Behavioral Health Solutions

  • Behavior Analyst
  • Indianapolis, IN
  • NPI 1114348703
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1063752905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 PACKARD ST",
            "address_2": "SUITE 170",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481082280",
            "telephone_number": "734-528-2013",
            "fax_number": "734-528-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 W 96TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462681102",
            "telephone_number": "317-802-7447",
            "fax_number": "317-802-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "NATALIE",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "M.A., B.C.B.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-28",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "1-13-13104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Renee Sparks, LAT, ATC
• John Calvin Sparks
• Kathleen Malone Sparks, ATC, LAT
• Kimberly Ann Sparks, MS CCC SLP
• Kylee Rae Sparks, ATC
• Rita Jane Sparks, LCSW
• Tiffany R Sparks
• Victoria Sparks, RD
• Sparrow Counseling Group, LLC
• Mark Sparrow, M.D.

• Behavior Analyst in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Behavior Analyst in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.