| Sprout Licensed Behavior Analyst Pllc | |
|
225 W 83rd St Apt 6z New York NY 10024-4955 | |
| (201) 873-1548 | |
| Not Available |
| Full Name | Sprout Licensed Behavior Analyst Pllc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 225 W 83rd St Apt 6z, New York, New York |
| Authorized Official Name and Position | Adina Milgram (OWNER) |
| Authorized Official Contact | 2018731548 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sprout Licensed Behavior Analyst Pllc 433 Forest Ave Teaneck NJ 07666-2773 Ph: (201) 873-1548 | Sprout Licensed Behavior Analyst Pllc 225 W 83rd St Apt 6z New York NY 10024-4955 Ph: (201) 873-1548 |
| NPI Number | 1326776378 |
|---|---|
| Provider Enumeration Date | 08/09/2022 |
| Last Update Date | 08/09/2022 |
| Certification Date | 08/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326776378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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