| Sprout Behavioral Health Services Llc | |
|
2416 E Beverly Rd Shorewood WI 53211 | |
| (563) 940-7060 | |
| Not Available |
| Full Name | Sprout Behavioral Health Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2416 E Beverly Rd, Shorewood, Wisconsin |
| Authorized Official Name and Position | Scott Carter (OWNER) |
| Authorized Official Contact | 5639407060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sprout Behavioral Health Services Llc 2416 E Beverly Rd Shorewood WI 53211 Ph: (563) 940-7060 | Sprout Behavioral Health Services Llc 2416 E Beverly Rd Shorewood WI 53211 Ph: (563) 940-7060 |
| NPI Number | 1184300956 |
|---|---|
| Provider Enumeration Date | 06/26/2023 |
| Last Update Date | 06/26/2023 |
| Certification Date | 06/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184300956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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