Skill Sprout Diagnostic

NPI #1871885756 in Washington, Illinois

Provider Information

NPI Number: 1871885756
Entity Type: Organization
Organization Name: Skill Sprout Diagnostic
Primary Specialty: Behavior Analyst
Enumeration Date: May 10, 2011
Last Updated: May 10, 2011

Practice Location

Address: 102 WALNUT STREET
City: Washington
State: Illinois
ZIP Code: 61571
Phone: (800) 773-1682

Authorized Official

Name: AMY SHYMANSKY
Title: DIRECTOR OF OPERATIONS
Phone: (800) 773-1682

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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