| Sprout Therapy | |
|
101 Eisenhower Pkwy Ste 300 Roseland NJ 07068-1054 | |
| (833) 991-2368 | |
| (929) 384-7193 |
| Full Name | Sprout Therapy |
|---|---|
| Speciality | Behavior Analyst |
| Location | 101 Eisenhower Pkwy Ste 300, Roseland, New Jersey |
| Authorized Official Name and Position | Yury Yakubchyk (OWNER) |
| Authorized Official Contact | 9737559203 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sprout Therapy 6303 Blue Lagoon Dr Ste 400 Miami FL 33126-6040 Ph: (833) 991-2368 | Sprout Therapy 101 Eisenhower Pkwy Ste 300 Roseland NJ 07068-1054 Ph: (833) 991-2368 |
| NPI Number | 1588283709 |
|---|---|
| Provider Enumeration Date | 04/09/2020 |
| Last Update Date | 04/12/2024 |
| Certification Date | 04/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588283709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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