Sprout Therapy Group, Pllc

NPI #1780212282 in Bellevue, Washington

Provider Information

NPI Number: 1780212282
Entity Type: Organization
Organization Name: Sprout Therapy Group, Pllc
Primary Specialty: Behavior Analyst
Enumeration Date: Mar 30, 2020
Last Updated: Mar 30, 2020

Practice Location

Address: 1800 154TH AVE NE APT E240
City: Bellevue
State: Washington
ZIP Code: 98007-4381
Phone: (843) 743-5636

Authorized Official

Name: CAMERON ANDREWS MILLICAN, BCABA
Title: OWNER
Phone: (843) 743-5636

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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