Spark Behavioral Therapy Corp

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SPARK BEHAVIORAL THERAPY CORP

Practice address

3276 W 100TH Ter
Hialeah, FL 33018-2101

Phone

(786) 580-6119

NPI assigned

Jun 1, 2026

Organization subpart

No

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

Authorized official

Name

David Miguel Ravelo

Title

Ceo

Phone

(786) 580-6119

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1780272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1598697799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3276 W 100TH TER",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330182101",
            "telephone_number": "786-580-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3276 W 100TH TER",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330182101",
            "telephone_number": "786-580-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARK BEHAVIORAL THERAPY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-01",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A",
        "authorized_official_last_name": "RAVELO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MIGUEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-580-6119"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.