Individual
MORGAN RAE SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 W GEORGIA AVE, NAMPA, ID 83686-2835
(425) 977-0088
Mailing address
220 W GEORGIA AVE, NAMPA, ID 83686-2835
(425) 977-0088
(920) 857-3366
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-64958
OR
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/30/2019
Last updated
09/19/2023
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