Organization
SPARK BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE FURSTENBERG BCCS (OWNER)
(402) 960-1044
Entity
Organization
Contact information
Practice address
2974 S 84TH ST, OMAHA, NE 68124-3213
(402) 960-1044
Mailing address
19204 BOYD CIR, ELKHORN, NE 68022-5500
(402) 960-1044
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/20/2021
Last updated
01/20/2021
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