Spark Behavioral Health

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SPARK BEHAVIORAL HEALTH

Practice address

2974 S 84TH St
Omaha, NE 68124-3213

Phone

(402) 960-1044

NPI assigned

Jan 20, 2021

Organization subpart

No

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

Authorized official

Name

Melanie Furstenberg, BCCS

Title

Owner

Phone

(402) 960-1044

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611100800000",
    "number": "1942890389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19204 BOYD CIR",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680225500",
            "telephone_number": "402-960-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2974 S 84TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243213",
            "telephone_number": "402-960-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARK BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A",
        "authorized_official_last_name": "FURSTENBERG",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-960-1044",
        "authorized_official_credential": "BCCS"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "OMAHA",
            "affiliation": "N",
            "address_1": "2974 S 84th St",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681243213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kari Lynn Spangler, PLMHP
• Mikayla L. Spangler, PHARM.D.
• Christine Spangrud
• Sydney Spangrud
• Jacy Jenae Sparano
• Amanda Sparkman
• Christopher Sparkman
• Albert Todd Sparks, MSCC
• Kamryn Sparks
• Lance Sparks

• Behavior Analyst in Omaha, NE
• Providers in Omaha, NE by specialty
• Behavior Analyst in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.