NPIMap

Organization Active NPI

Spark Learning LLC

  • Behavior Analyst
  • Austin, TX
National Provider Identifier
1427304385
Registry record updated Sep 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-12-10313 Issued in TX
Legal business name
SPARK LEARNING LLC
Practice address
2517 Enfield Rd
Austin, TX 78703-3715
Phone
(512) 900-1425
NPI assigned
Jul 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2014

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

Authorized official

Name
Kristen Rakun, M.ED., BCBA
Title
Director
Phone
(512) 900-1425

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1-12-10313 TX Primary

Addresses

Primary practice location

2517 Enfield Rd
Austin, TX 78703-3715

Mailing address

2517 Enfield Rd
Austin, TX 78703-3715
Phone (512) 900-1425

National Provider Directory

National Provider Directory

Locations

2517 Enfield Rd
Austin, TX 78703
Phone (512) 900-1425

Practitioners & affiliated clinicians

Practitioners 53

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 53

NPI Registry JSON

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411516800000",
    "number": "1427304385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 ENFIELD RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787033715",
            "telephone_number": "512-900-1425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2517 ENFIELD RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787033715",
            "telephone_number": "512-900-1425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARK LEARNING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-30",
        "last_updated": "2014-09-24",
        "status": "A",
        "authorized_official_last_name": "RAKUN",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "512-900-1425",
        "authorized_official_credential": "M.ED., BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-12-10313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; 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.