Sprout Behavior and Skills Therapy LLC

NPI #1316760713 in Oklahoma City, Oklahoma

Provider Information

NPI Number: 1316760713
Entity Type: Organization
Organization Name: Sprout Behavior and Skills Therapy LLC
Primary Specialty: Behavior Analyst
Enumeration Date: Nov 4, 2024
Last Updated: Nov 4, 2024

Practice Location

Address: 5717 NW 115TH ST
City: Oklahoma City
State: Oklahoma
ZIP Code: 73162-3545
Phone: (405) 887-5719

Authorized Official

Name: MRS. REISHA DESPAIN, BCBA
Title: OWNER
Phone: (405) 887-5719

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X
Behavior Analyst	103K00000X	Primary

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