Active NPI
Courtney Sparks
- Behavior Analyst
- Huntersville, NC
National Provider Identifier
1619415395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-19-40035
- Practice address
- 9930 Kincey Ave Ste 140
Huntersville, NC 28078-6541 - Phone
- (980) 380-9775
- NPI assigned
- Feb 2, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 3275 | TX | |
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | 1-19-40035 | NC | Primary |
Addresses
Primary practice location
9930 Kincey Ave Ste 140
Huntersville, NC 28078-6541
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885
Other practice location 1
1110 Pinecrest Dr
Sour Lake, TX 77659-9243
Phone (910) 467-9561
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3275 | TX | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776902400000",
"number": "1619415395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 DEPAUW BLVD STE 3070",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462686135",
"telephone_number": "855-324-0885",
"fax_number": "317-520-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9930 KINCEY AVE STE 140",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280786541",
"telephone_number": "980-380-9775"
}
],
"practiceLocations": [
{
"address_1": "1110 Pinecrest Dr",
"address_purpose": "LOCATION",
"city": "Sour Lake",
"state": "TX",
"postal_code": "776599243",
"country_code": "US",
"telephone_number": "910-467-9561",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPARKS",
"first_name": "COURTNEY",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-02",
"last_updated": "2026-04-23",
"certification_date": "2026-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "3275",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NC",
"license": "1-19-40035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.