Organization Active NPI

Spark Therapy Center LLC

  • Behavior Analyst
  • Naples, FL
National Provider Identifier
1104526904
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SPARK THERAPY CENTER LLC
Practice address
4851 Tamiami TRL N Ste 200
Naples, FL 34103-3098
Phone
(305) 318-2559
NPI assigned
Mar 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Authorized official

Name
Noria De Los Angeles Garcia
Title
President
Phone
(305) 318-2559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

4851 Tamiami TRL N Ste 200
Naples, FL 34103-3098

Mailing address

4851 Tamiami TRL N Ste 200
Naples, FL 34103-3098
Phone (305) 318-2559

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1104526904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4851 TAMIAMI TRL N STE 200",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341033098",
            "telephone_number": "305-318-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4851 TAMIAMI TRL N STE 200",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341033098",
            "telephone_number": "305-318-2559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARK THERAPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "NORIA",
        "authorized_official_middle_name": "DE LOS ANGELES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-318-2559"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.