California Sprout Mc 1 LLC
NPI #1902434178 in South San Francisco, California
Provider Information
- NPI Number
- 1902434178
- Entity Type
- Organization
- Organization Name
- California Sprout Mc 1 LLC
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- Apr 1, 2020
- Last Updated
- Jul 28, 2025
Practice Location
- Address
- 611 GATEWAY BLVD STE 120
- State
- California
- ZIP Code
- 94080-7066
- Phone
- (833) 458-0386
Authorized Official
- Name
- YURY YAKUBCHYK SR.
- Title
- OWNER
- Phone
- (786) 210-8200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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