Individual
ASHLEY SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 COBB PLACE BLVD NW STE 230, KENNESAW, GA 30144-3684
(470) 648-3280
Mailing address
315 FREYS GIN RD SE APT 4209A, MARIETTA, GA 30067-7727
(801) 710-0139
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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