Sprout Therapy | |
11414 W Park Pl Ste 202 Milwaukee WI 53224-3500 | |
(833) 991-2368 | |
(929) 384-7193 |
Full Name | Sprout Therapy |
---|---|
Speciality | Behavior Analyst |
Location | 11414 W Park Pl Ste 202, Milwaukee, Wisconsin |
Authorized Official Name and Position | Yury Yakubchyk (OWNER) |
Authorized Official Contact | 8333847193 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sprout Therapy 11414 W Park Pl Ste 202 Milwaukee WI 53224-3500 Ph: (833) 991-2368 | Sprout Therapy 11414 W Park Pl Ste 202 Milwaukee WI 53224-3500 Ph: (833) 991-2368 |
NPI Number | 1972188449 |
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Provider Enumeration Date | 03/16/2021 |
Last Update Date | 09/27/2021 |
Certification Date | 09/27/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972188449 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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