| Skill Sprout International | |
|
102 Walnut Street Washington IL 61571 | |
| (800) 773-1682 | |
| (800) 773-1682 |
| Full Name | Skill Sprout International |
|---|---|
| Speciality | Behavior Analyst |
| Location | 102 Walnut Street, Washington, Illinois |
| Authorized Official Name and Position | Amy Shymansky (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 8007731682 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Skill Sprout International 102 Walnut Street Washington IL 61571 Ph: (800) 773-1682 | Skill Sprout International 102 Walnut Street Washington IL 61571 Ph: (800) 773-1682 |
| NPI Number | 1073805156 |
|---|---|
| Provider Enumeration Date | 05/09/2011 |
| Last Update Date | 05/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073805156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-09-6597 (Illinois) | Primary |
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