OrganizationActive
Spark Behavioral Health
NPI 1114763372 · Early Intervention Provider Agency · Burnsville, MN
Provider details
- NPI number
- 1114763372
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Mohamed Mohamed, Authorized Agent(952) 213-9989
Specialties & taxonomies
Agencies
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12751 County Road 5 Ste 109
Burnsville, MN 55337-2275
Phone: (952) 213-9989
Street-level locationGet directions
Mailing address
12751 County Road 5 Ste 109
Burnsville, MN 55337-2275
Registry dates
- Enumerated
- 2024-07-06
- Last updated
- 2024-07-06
- Certified
- 2024-07-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.