Individual
AMANDA SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
16941 N EAGLE RIVER LOOP RD, EAGLE RIVER, AK 99577-7802
(907) 726-5330
Mailing address
17738 JAMES WAY APT C, EAGLE RIVER, AK 99577-9254
(801) 884-6709
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-14-00136
AK
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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