Spark Kids Academy LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SPARK KIDS ACADEMY LLC

Practice address

9100 Conroy Windermere Rd Ste 200
Windermere, FL 34786-8431

Phone

(407) 692-4644

NPI assigned

Aug 25, 2021

Last updated

Aug 25, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Anielys Puente

Title

Owner

Phone

(407) 692-4644

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629849600000",
    "number": "1568139756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 CONROY WINDERMERE RD STE 200",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347868431",
            "telephone_number": "407-692-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 CONROY WINDERMERE RD STE 200",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347868431",
            "telephone_number": "407-692-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARK KIDS ACADEMY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-25",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A",
        "authorized_official_last_name": "PUENTE",
        "authorized_official_first_name": "ANIELYS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-692-4644",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Windermere, FL
• Providers in Windermere, FL by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.