PA Sprout Mc 1 LLC
NPI #1528687092 in Doylestown, Pennsylvania
Provider Information
- NPI Number
- 1528687092
- Entity Type
- Organization
- Organization Name
- PA Sprout Mc 1 LLC
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- Apr 14, 2020
- Last Updated
- Sep 27, 2021
Practice Location
- Address
- 196 W ASHLAND ST
- City
- Doylestown
- State
- Pennsylvania
- ZIP Code
- 18901-4040
- Phone
- (833) 991-2368
Authorized Official
- Name
- YURY YAKUBCHYK SR.
- Title
- OWNER
- Phone
- (267) 440-7754
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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