| Sprout Behavior Consultants, Llc | |
|
10181 6 Mile Cypress Pkwy Fort Myers FL 33966-6401 | |
| (941) 737-8539 | |
| Not Available |
| Full Name | Sprout Behavior Consultants, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10181 6 Mile Cypress Pkwy, Fort Myers, Florida |
| Authorized Official Name and Position | Stephanie Ann Mercier Cooksey (BCBA/OWNER) |
| Authorized Official Contact | 9417378539 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sprout Behavior Consultants, Llc Po Box 61744 Fort Myers FL 33906-1744 Ph: () - | Sprout Behavior Consultants, Llc 10181 6 Mile Cypress Pkwy Fort Myers FL 33966-6401 Ph: (941) 737-8539 |
| NPI Number | 1992163315 |
|---|---|
| Provider Enumeration Date | 01/29/2016 |
| Last Update Date | 01/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992163315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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