MEDICARE: SPARKPOINT THERAPY INC

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
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1902739402
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPARKPOINT THERAPY INC

Provider Business Mailing Address
First Line	:	4505 TOWN N COUNTRY BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-4567
Country	:	US
Telephone Number	:	305-343-8991
Fax Number	:

Provider Business Practice Location Address
First Line	:	4505 TOWN N COUNTRY BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-4567
Country	:	US
Telephone Number	:	305-343-8991
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JORGE ORLANDO ALVARADO
Credential	:
Telephone Number	:	305-434-8991

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/04/2026

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Directions to “SPARKPOINT THERAPY INC ” Practice Location

Language	Start Address	Practice Location

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