Katrina Sparks

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

BACB1006496 Issued in FL

Practice address

1463 Oakfield Dr Ste 102
Brandon, FL 33511-3893

Phone

(813) 655-4166

NPI assigned

Apr 15, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Supporting Bright Stars, LLC

  • Early Intervention Provider Agency
  • Brandon, FL
  • NPI 1316187032
  NPD

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

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1194468397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1463 OAKFIELD DR STE 102",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335113893",
            "telephone_number": "813-655-4166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1463 OAKFIELD DR STE 102",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335113893",
            "telephone_number": "813-655-4166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "KATRINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-15",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "BACB1006496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southshore Homekare
• Graham Sowa, M.D.
• Samuel Spaiser
• Spanos Consulting Inc
• Ashley Sparber, MD
• Sparrow'S Haven Solace Center, LLC
• Spccsmdbrandon Inc
• Matthew Spears, DO
• Kathleen Marie Specht, APRN
• Specialty Care Assistance Corp.

• Behavior Technician in Brandon, FL
• Providers in Brandon, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.