| Sprout Behavioral Services, Inc. | |
|
1548 Ne 37th St Oakland Park FL 33334-4623 | |
| (954) 552-6668 | |
| Not Available |
| Full Name | Sprout Behavioral Services, Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1548 Ne 37th St, Oakland Park, Florida |
| Authorized Official Name and Position | Kelsey Elise Ballew (PRESIDENT) |
| Authorized Official Contact | 2562835727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sprout Behavioral Services, Inc. 1548 Ne 37th St Oakland Park FL 33334-4623 Ph: (954) 552-6668 | Sprout Behavioral Services, Inc. 1548 Ne 37th St Oakland Park FL 33334-4623 Ph: (954) 552-6668 |
| NPI Number | 1649727090 |
|---|---|
| Provider Enumeration Date | 09/01/2016 |
| Last Update Date | 09/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649727090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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