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Spark Behavioral Health

Early Intervention Provider Agency in Burnsville, MN · enumerated 2024 · authorized official Mohamed Mohamed, Authorized Agent.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114763372

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Registry record

Entity type Organization (Type 2)
Legal business name Spark Behavioral Health
Practice address 12751 County Road 5 Ste 109, Burnsville, MN, 55337
Phone (952) 213-9989
Enumeration date Jul 6, 2024
Last updated in NPPES Jul 6, 2024

Taxonomy & classification

252Y00000X Early Intervention Provider Agency Agencies Primary

Authorized official

Name Mohamed Mohamed
Title Authorized Agent
Phone (952) 213-9989

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Spark Behavioral Health?
The NPI for Spark Behavioral Health is 1114763372, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Spark Behavioral Health?
NPPES lists Mohamed Mohamed (Authorized Agent) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-07-06.