Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Spark Behavioral Health

Organization Early Intervention Provider Agency · NPI 1114763372

Spark Behavioral Health is an Early Intervention Provider Agency in Burnsville, Minnesota. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

12751 County Road 5 Ste 109
Burnsville, MN 55337-2275
Phone: (952) 213-9989
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Early Intervention Provider Agency (primary) Taxonomy 252Y00000X

Record details

NPI number1114763372
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mohamed Mohamed — Authorized Agent · (952) 213-9989
NPI enumeratedJuly 6, 2024
Last updated in NPPESJuly 6, 2024
Certification dateJuly 6, 2024
Mailing address12751 County Road 5 Ste 109, Burnsville, MN 55337-2275

Other providers in Burnsville