Individual
KELSEY MARIE SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
6824 LOGUE LN, WACO, TX 76708-7241
(125) 464-4848
(254) 756-3133
Mailing address
7500 SAN FELIPE ST STE 990, HOUSTON, TX 77063-1708
(281) 826-3382
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-51131
TX
Other
Enumeration date
03/12/2020
Last updated
02/08/2023
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