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General NPI Number Information
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NPI Number | 1104776186
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Entity Type | Organization
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Legal Business Name | SPARKJOY ABA LLC
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Dates
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Enumeration Date | 01/30/2026
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 2293 VILLAGE PARK CT
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City | ONTARIO
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State | OH
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Zip | 44906-1167
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Country | US
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Telephone | 216-499-3436
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Fax | 815-581-1005
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Provider Business Mailing Address
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Address Line | 11811 SHAKER BLVD STE 204
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City | CLEVELAND
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State | OH
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Zip | 44120-1927
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Country | US
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Telephone | 216-499-3437
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Fax | 815-581-1005
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | DONALD GALLAGHER
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Credential |
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Telephone | 216-499-3437
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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