SPARK BEHAVIORAL HEALTH
NPI 1114763372
Early Intervention Provider Agency in Burnsville, MN

Active since July 06, 2024
12751 COUNTY ROAD 5 STE 109, BURNSVILLE, MN 55337(952) 213-9989 Get Directions Write a Review

NPPES record last updated: July 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Spark Behavioral Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPARK BEHAVIORAL HEALTH (NPI 1114763372) is a healthcare organization registered as an early intervention provider agency in Burnsville, Minnesota and active in the NPI registry since July 2024. The organization lists Mohamed A Mohamed, Authorized Agent, as its authorized official.

NPPES Registry Identity

NPI1114763372
Entity TypeOrganization
Primary Taxonomy252Y00000X
Legal Business NameSPARK BEHAVIORAL HEALTH
Location Address12751 COUNTY ROAD 5 STE 109Burnsville, MN 55337-2275
Mailing Address12751 County Road 5 Ste 109Burnsville, MN 55337-2275 · (952) 213-9989
Organization SubpartNo
Authorized OfficialMohamed A MohamedAuthorized Agent · (952) 213-9989
Enumeration DateJuly 6, 2024
NPPES CertifiedJuly 6, 2024
NPI 1114763372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEarly Intervention Provider AgencyAgencies
Taxonomy Code252Y00000X
Definition
Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children's needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development.
12751 COUNTY ROAD 5 STE 109, Burnsville, MN 55337

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
12751 COUNTY ROAD 5 STE 109
BURNSVILLE, MN 55337
Behavior Technician
12751 COUNTY ROAD 5 STE 109
BURNSVILLE, MN 55337
Behavior Technician
12751 COUNTY ROAD 5 STE 109
BURNSVILLE, MN 55337

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spark Behavioral Health's NPI number?

The NPI number for Spark Behavioral Health is 1114763372. It was assigned to this organization in the NPPES registry on July 6, 2024.

Where is Spark Behavioral Health located?

Spark Behavioral Health is located at 12751 County Road 5 Ste 109, Burnsville, MN 55337. The listed phone number is (952) 213-9989.

What is Spark Behavioral Health's specialty?

The primary specialty registered for this NPI is Early Intervention Provider Agency with taxonomy code 252Y00000X.

When was this NPI record last updated?

The NPPES record for Spark Behavioral Health was last updated on July 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.