KAITLIN MARIE SPARKS (NPI# 1043569452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043569452 |
| Entity Type | Individual |
| Full Name | KAITLIN MARIE SPARKS |
| Practice Address |
12276 San Jose Blvd Suite 508 Jacksonville FL 32223-8628 |
| Practice Telephone | 9048863228 |
| Practice Fax Number | 9048863297 |
| Mailing Telephone | 9048863228 |
| Mailing Fax Number | 9048863297 |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2020-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073905485 | Kaitlin Sparks | Pharmacist | 3150 S Seneca St, Wichita, KS 67217-3235 | 2015-02-22 |
| Street Address |
12276 SAN JOSE BLVD SUITE 508 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32223-8628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114925922 | Luna I Khadour | Family Medicine | 12276 San Jose Blvd, Suite 401, Jacksonville, FL 32223-8628 | 2005-07-14 |
| 1538773239 | Brenda Eileen Haga | Rehabilitation Practitioner | 12276 San Jose Blvd, Jacksonville, FL 32223-8628 | 2020-09-01 |
| 1073123600 | Catiana Augusme | Behavior Technician | 12276 San Jose Blvd, Jacksonville, FL 32223-8628 | 2020-08-07 |
| 1275066185 | Glenn Allan Turner Jr. | Behavior Technician | 12276 San Jose Blvd, Suite 508, Jacksonville, FL 32223 | 2017-04-07 |
| 1063952547 | Kayleigh Ansteatt | Developmental Therapist | 12276 San Jose Blvd, Suite 508, Jacksonville, FL 32223-8628 | 2017-03-02 |
| 1295279834 | Riyam Dhahir Yaseen | Developmental Therapist | 12276 San Jose Blvd, 508, Jacksonville, FL 32223-8628 | 2016-12-16 |
| 1316496417 | Ari Wallace | Developmental Therapist | 12276 San Jose Blvd, Ste 508, Jacksonville, FL 32223-8628 | 2016-09-29 |
| 1992250492 | Lauren Beth Philbrick | Developmental Therapist | 12276 San Jose Blvd, Jacksonville, FL 32223-8628 | 2016-08-24 |
| 1922553882 | Brandi Marie Higginbotham | Developmental Therapist | 12276 San Jose Blvd, Suite 508, Jacksonville, FL 32223-8628 | 2016-08-22 |
| 1598210346 | Katharine Streets | Developmental Therapist | 12276 San Jose Blvd, Ste 508, Jacksonville, FL 32223-8628 | 2016-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679103600 | Karen Gabriela Alexander | Dietitian, Registered | Ackerman Cancer Center, 10881 San Jose Blvd, Jacksonville, FL 32223 | 2020-01-17 |
| 1891250049 | Thalia L Honea | Occupational Therapist | 12766 San Jose Blvd, Suite 716 & 717, Jacksonville, FL 32223 | 2019-02-01 |
| 1447758289 | Stephanie Ann Murphy | Marriage & Family Therapist | 11543 Halethorpe Drive, Jacksonville, FL 32223 | 2018-01-26 |
| 1861948481 | Nicole Gay | Developmental Therapist | 12276 San Jose Blvd, Ste 5, Jacksonville, FL 32223 | 2016-09-01 |
| 1740694439 | Robyn K Mizelle | Behavioral Analyst | 12276 San Jose Blvd. Great Strides Rehabilitation, Suite 507, Jacksonville, FL 32223 | 2014-06-20 |
| 1184038010 | Kelli Anne Cabrera | Occupational Therapist | 12350 San Jose Blvd, Jacksonville, FL 32223 | 2014-06-18 |
| 1891031910 | Mandarin Family Medicine, P.a. | Preferred Provider Organization | 12276-210 San Jose Blvd, Jacksonville, FL 32223 | 2012-12-18 |
| 1114201811 | Darshana Choksi | Pharmacist | 3663 Marbon Rd, Jacksonville, FL 32223 | 2011-09-30 |
| 1346539988 | Harris Wilcox and Donovan Pa | Optometrist | 11790 San Jose Bl, Jacksonville, FL 32223 | 2011-04-05 |
| 1740517796 | Beth A. Kelley | Occupational Therapist | 2640 Scott Mill Dr, Jacksonville, FL 32223 | 2009-11-12 |
| Find all providers in zip 32223 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951758 | Ebs Childrens Therapy - Fl LLC | Behavioral Analyst | 5491 Dolphin Point Blvd, Jacksonville, FL 32211 | 2020-10-27 |
| 1265031066 | Johnathon Monson | Behavioral Analyst | 12025 San Jose Blvd Ste 102, Jacksonville, FL 32223-1639 | 2020-10-22 |
| 1336748391 | Emily K Reeves | Behavioral Analyst | 12025 San Jose Blvd Ste 2, Jacksonville, FL 32223-1639 | 2020-10-21 |
| 1275146912 | Keepsake Learning Behavioral Services | Behavioral Analyst | 11451 Kabroon Ct, Jacksonville, FL 32246-6920 | 2020-08-24 |
| 1356962518 | Pls Therapy Services | Behavioral Analyst | 13121 Atlantic Blvd Ste 400, Jacksonville, FL 32225-0103 | 2020-04-29 |
| 1184277766 | Jade Greene Bcba LLC | Behavioral Analyst | 5332 Gathering Oaks Ct E, Jacksonville, FL 32258-3420 | 2019-07-22 |
| 1386100667 | Nicole M Cleghorn | Behavioral Analyst | 1264 Nipigon Ave S, Jacksonville, FL 32233-2226 | 2019-02-12 |
| 1548732886 | Courtney Rollings Latham | Behavioral Analyst | 12350 Shore Acres Dr, Jacksonville, FL 32225-5670 | 2018-12-27 |
| 1023583325 | Linnzi Marks | Behavioral Analyst | 6014 Wateredge Ln, Jacksonville, FL 32211 | 2018-10-12 |
| 1013482876 | Madison Buehnemann | Behavioral Analyst | 3832 Baymeadows Rd Ste 9, Jacksonville, FL 32217-5605 | 2018-10-09 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32223 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.