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Organization
SPARKING CHANGE LLC
Active
Organization
SPARKING CHANGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINET MCCOY BCBA (OWNER/AUTHORIZED OFFICIAL)
(561) 629-4756
Entity
Organization
Contact information
Practice address
433 PLAZA REAL STE 275, BOCA RATON, FL 33432-3999
(561) 629-4756
Mailing address
433 PLAZA REAL STE 275, BOCA RATON, FL 33432-3999
(561) 629-4756
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/06/2024
Last updated
12/06/2024
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