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

Elyse Sparks

Individual provider Developmental Therapist · NPI 1639926207

Elyse Sparks is a Developmental Therapist in Boston, Massachusetts. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

105 Victory Rd
Boston, MA 02122-3518
Phone: (617) 371-3010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X

Record details

NPI number1639926207
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 2, 2024
Last updated in NPPESMay 2, 2024
Certification dateMay 1, 2024
Mailing address105 Victory Rd, Boston, MA 02122-3518

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