| Sprout Therapy Group, Pllc | |
|
1800 154th Ave Ne Apt E240 Bellevue WA 98007-4381 | |
| (843) 743-5636 | |
| Not Available |
| Full Name | Sprout Therapy Group, Pllc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1800 154th Ave Ne Apt E240, Bellevue, Washington |
| Authorized Official Name and Position | Cameron Andrews Millican (OWNER) |
| Authorized Official Contact | 8437435636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sprout Therapy Group, Pllc 1800 154th Ave Ne Apt E240 Bellevue WA 98007-4381 Ph: (843) 743-5636 | Sprout Therapy Group, Pllc 1800 154th Ave Ne Apt E240 Bellevue WA 98007-4381 Ph: (843) 743-5636 |
| NPI Number | 1780212282 |
|---|---|
| Provider Enumeration Date | 03/30/2020 |
| Last Update Date | 03/30/2020 |
| Certification Date | 03/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780212282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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