Individual provider Active NPI

Olivia Sparg, MA, BCBA

  • Behavior Analyst
  • Washington, DC
National Provider Identifier
1720328792
Registry record updated Jun 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
11313172 Issued in DC
Practice address
713 17TH St SE
Washington, DC 20003-3126
Phone
(610) 246-0994
NPI assigned
Feb 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 11313172 DC Primary
Behavior Analyst 103K00000X 0133000266 VA

Addresses

Primary practice location

713 17TH St SE
Washington, DC 20003-3126

Mailing address

713 17TH St SE
Washington, DC 20003-3126
Phone (610) 246-0994

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
11313172DCMDBehavioral Analyst
0133000266VAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Rubric Behavioral and Educational Services, LLC Behavior Analyst PastSince Oct 25, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370908800000",
    "number": "1720328792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 17TH ST SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200033126",
            "telephone_number": "610-246-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 17TH ST SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200033126",
            "telephone_number": "610-246-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARG",
        "first_name": "OLIVIA",
        "credential": "MA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-27",
        "last_updated": "2013-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "DC",
            "license": "11313172",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133000266",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; 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.