Individual
PATRICK RAYMOND SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
28 SCHENCK PKWY, BLDG 2B,, ASHEVILLE, NC 28803-5053
(855) 832-6727
(772) 675-9100
Mailing address
7108 SOUTH KANNER HWY, STUART, FL 34997
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-53699
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104515300
—
FL
Enumeration date
10/16/2019
Last updated
01/12/2026
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