| Sprout Therapy | |
|
7761 Diamondback Rd College Park MD 20740-3240 | |
| (301) 265-3520 | |
| Not Available |
| Full Name | Sprout Therapy |
|---|---|
| Speciality | Behavior Analyst |
| Location | 7761 Diamondback Rd, College Park, Maryland |
| Authorized Official Name and Position | Michael Ragheb (COO) |
| Authorized Official Contact | 7862108200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sprout Therapy 7761 Diamondback Rd College Park MD 20740-3240 Ph: () - | Sprout Therapy 7761 Diamondback Rd College Park MD 20740-3240 Ph: (301) 265-3520 |
| NPI Number | 1477165868 |
|---|---|
| Provider Enumeration Date | 08/18/2020 |
| Last Update Date | 09/27/2021 |
| Certification Date | 09/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477165868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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