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1750923249
PATRICK RAYMOND SPARKS
MARIETTA, GA
NPI
1750923249
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: 1-21-53699)
Enumeration Date
2019-10-16
Last Update Date
2022-09-08
Business Address
PATRICK RAYMOND SPARKS BCBA
845 SHAW PARK RD
MARIETTA, GA 30066-4061
Phone number: 470-231-9692
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Mailing Address
PATRICK RAYMOND SPARKS BCBA
360 PHARR RD NE APT 112
ATLANTA, GA 30305-2360
Phone number: 904-451-1611
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