Provider Demographics
NPI:1245453455
Name:SPARKMAN LEARNING CENTER INC.
Entity type:Organization
Organization Name:SPARKMAN LEARNING CENTER INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATIONS OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JESSIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:BA, CCM, SC
Authorized Official - Phone:870-678-2301
Mailing Address - Street 1:PO BOX 173
Mailing Address - Street 2:
Mailing Address - City:SPARKMAN
Mailing Address - State:AR
Mailing Address - Zip Code:71763-0173
Mailing Address - Country:US
Mailing Address - Phone:870-678-2301
Mailing Address - Fax:870-678-2887
Practice Address - Street 1:108 PORTER
Practice Address - Street 2:
Practice Address - City:SPARKMAN
Practice Address - State:AR
Practice Address - Zip Code:71763-0173
Practice Address - Country:US
Practice Address - Phone:870-678-2301
Practice Address - Fax:870-678-2887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services