Sprout Behavioral Health, Pllc

NPI #1467192997 in Stafford, Virginia

Provider Information

NPI Number: 1467192997
Entity Type: Organization
Organization Name: Sprout Behavioral Health, Pllc
Primary Specialty: Behavior Analyst
Enumeration Date: Mar 31, 2022
Last Updated: Mar 31, 2022

Practice Location

Address: 9 WESTHAMPTON CT
City: Stafford
State: Virginia
ZIP Code: 22554-3787
Phone: (919) 524-1175

Authorized Official

Name: SYDNEY BALL HOLMES, MA, LPA, LBA, BCBA
Title: CLINICAL DIRECTOR
Phone: (919) 524-1175

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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