The Sparks Group, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

1-062876 Issued in MD

Legal business name

THE SPARKS GROUP, LLC

Practice address

3547 Carriage Walk LN
Laurel, MD 20724-2052

Phone

(301) 219-8190

NPI assigned

Jun 26, 2012

Last updated

Jun 26, 2012By 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

Mrs. Beverly Twitty, M.S.

Title

Director

Phone

(301) 219-8190

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Soraya Dos Santos

  • Behavior Analyst
  • Capitol Heights, MD
  • NPI 1639433436
  NPD (past)

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340668800000",
    "number": "1871857623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4119 ELLIS ST",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207435756",
            "telephone_number": "301-219-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3547 CARRIAGE WALK LN",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207242052",
            "telephone_number": "301-219-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SPARKS GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-26",
        "last_updated": "2012-06-26",
        "status": "A",
        "authorized_official_last_name": "TWITTY",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-219-8190",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "1-062876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Laurel, MD
• Providers in Laurel, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; 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.