| Sprout Evaluation Center, Llc | |
|
31129 Plymouth Rd Livonia MI 48150-2103 | |
| (734) 323-2272 | |
| (734) 323-2272 |
| Full Name | Sprout Evaluation Center, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 31129 Plymouth Rd, Livonia, Michigan |
| Authorized Official Name and Position | Kevin Whelan (CEO) |
| Authorized Official Contact | 7343232272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sprout Evaluation Center, Llc 31129 Plymouth Rd Livonia MI 48150-2103 Ph: (734) 323-2272 | Sprout Evaluation Center, Llc 31129 Plymouth Rd Livonia MI 48150-2103 Ph: (734) 323-2272 |
| NPI Number | 1093383770 |
|---|---|
| Provider Enumeration Date | 06/17/2021 |
| Last Update Date | 06/17/2021 |
| Certification Date | 06/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093383770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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