Nj Sprout Mc 1 LLC
NPI #1588283709 in Roseland, New Jersey
Provider Information
- NPI Number
- 1588283709
- Entity Type
- Organization
- Organization Name
- Nj Sprout Mc 1 LLC
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- Apr 9, 2020
- Last Updated
- Jul 28, 2025
Practice Location
- Address
- 101 EISENHOWER PKWY STE 300
- City
- Roseland
- State
- New Jersey
- ZIP Code
- 07068-1054
- Phone
- (833) 991-2368
Authorized Official
- Name
- YURY YAKUBCHYK SR.
- Title
- OWNER
- Phone
- (973) 755-9203
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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