Sparked Momentum, Inc.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SPARKED MOMENTUM, INC.

Practice address

15120 SW 28TH St
Miami, FL 33185-4604

Phone

(786) 269-9254

NPI assigned

Nov 24, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Lourdes Aguilar, BCBANPI 1972896603

Title

President

Phone

(786) 269-9254

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lourdes Cristina Aguilar, BCBA

  • Behavior Analyst
  • South Miami, FL
  • NPI 1972896603
  NPD Authorized official
• Siomara Vallejo

  • Behavior Analyst
  • Miami, FL
  • NPI 1780978577
  NPD (past)

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1396349809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15120 SW 28TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331854604",
            "telephone_number": "786-269-9254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15120 SW 28TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331854604",
            "telephone_number": "786-269-9254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARKED MOMENTUM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "AGUILAR",
        "authorized_official_first_name": "LOURDES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-269-9254",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "sparkedmomentuminc@gmail.com",
            "affiliation": "N",
            "address_1": "15120 SW 28th St",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331854604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Barbara Sparacino, M.D.
• Courtney Carroll Sparger, MD
• Sparis Medical Center Inc
• Spark ABA Services LLC
• Spark Insight Solutions LLC
• Alessandra Albuquerque Sparks Caldas, RDN, LDN
• Jane Lesley Sparrow-Bodenmiller, R.N. C.D.E.
• Quinton Randall Sparrow, M.D.
• Smiljana Spasic, M.D.
• Jody Lynn Spaulding, ARNP

• Behavior Analyst in Miami, FL
• Providers in Miami, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.