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Organization

SPARKED MOMENTUM, INC.

Active
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Organization

SPARKED MOMENTUM, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LOURDES AGUILAR BCBA (PRESIDENT)
(786) 269-9254
Entity
Organization

Contact information

Practice address
15120 SW 28TH ST, MIAMI, FL 33185-4604
(786) 269-9254
Mailing address
15120 SW 28TH ST, MIAMI, FL 33185-4604
(786) 269-9254

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
11/24/2020
Last updated
11/24/2020
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