Individual
CLARISSA SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
120 BROADUS AVE STE 100, GREENVILLE, SC 29601-3040
(803) 335-0718
Mailing address
16255 VENTURA BLVD STE 900, ENCINO, CA 91436-2317
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BT-26-527885
—
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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