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Individual

ALEXIS MARIE SPARKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
210 ANTHONI AVE STE 300, WHEELING, WV 26003-6403
(304) 242-6722
Mailing address
4697 HARRISON ST, BELLAIRE, OH 43906-1338
(740) 968-7006

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
171M00000X
Case Manager/Care Coordinator
Primary
OH

Other

Enumeration date
04/07/2022
Last updated
05/28/2026
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