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Organization
SPARK LEARNING LLC
Active
Organization
SPARK LEARNING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN RAKUN M.ED., BCBA (DIRECTOR)
(512) 900-1425
Entity
Organization
Contact information
Practice address
2517 ENFIELD RD, AUSTIN, TX 78703-3715
(512) 900-1425
Mailing address
2517 ENFIELD RD, AUSTIN, TX 78703-3715
(512) 900-1425
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-10313
TX
Other
Enumeration date
07/30/2012
Last updated
09/24/2014
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