| Sprouty Llc | |
|
3330 Pacific Ave Ste 500 Virginia Beach VA 23451-2997 | |
| (757) 404-8675 | |
| Not Available |
| Full Name | Sprouty Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3330 Pacific Ave Ste 500, Virginia Beach, Virginia |
| Authorized Official Name and Position | Stephanie Prouty (DIRECTOR) |
| Authorized Official Contact | 7574048675 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sprouty Llc 3330 Pacific Ave Ste 500 Virginia Beach VA 23451-2997 Ph: (757) 404-8675 | Sprouty Llc 3330 Pacific Ave Ste 500 Virginia Beach VA 23451-2997 Ph: (757) 404-8675 |
| NPI Number | 1649048042 |
|---|---|
| Provider Enumeration Date | 12/14/2023 |
| Last Update Date | 12/14/2023 |
| Certification Date | 12/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649048042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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