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NPI Code Detail

MEDICARE: LYNN SPARLING BCBA

MEDICARE: LYNN SPARLING BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1-16-24018GA

General Provider Information

NPI Number : 1811436496
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYNN SPARLING BCBA
Provider Business Mailing Address
First Line : 1502 BENTON BLVD APT 4101
Second Line :
City : SAVANNAH
State : GA
Zip : 31407-5146
Country : US
Telephone Number : 215-983-7149
Fax Number :
Provider Business Practice Location Address
First Line : 4000 SMITHTOWN RD STE 200
Second Line :
City : SUWANEE
State : GA
Zip : 30024-6560
Country : US
Telephone Number : 470-632-4990
Fax Number : 317-520-8200
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2017
Last Update Date : 01/27/2022

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Directions to “ LYNN SPARLING BCBA” Practice Location

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