Az Sprout Mc 1 LLC (NPI# 1225657547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider Identifier (NPI) | 1225657547 |
| Entity Type | Organization |
| Organization Name | AZ SPROUT MC 1 LLC |
| Practice Address |
21725 N 20th Ave Ste 101-102 Phoenix AZ 85027-2640 |
| Practice Telephone | 4805917312 |
| Practice Fax Number | 9293847193 |
| Mailing Address |
21725 N 20th Ave Ste 101-102 Phoenix AZ 85027-2640 |
| Mailing Telephone | 4805917312 |
| Mailing Fax Number | 9293847193 |
| Authorized Official Name | Yury Yakubchyk Sr. (OWNER) |
| Authorized Official Telephone | 4805917312 |
| Organization Subpart | No, this organization is not a Subpart |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2020-04-16 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| Yes | 103K00000X | Behavior Analyst | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Sprout Therapy | Doing Business As Name - Organization |
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053953943 | Katelyn Paige Brown | Behavior Analyst | 4602 E University Dr Ste 130, Phoenix, AZ 85034-7430 | 2019-10-11 |
| 1487204087 | Elizabeth Vos | Behavior Analyst | 2025 N 3rd St Ste 250, Phoenix, AZ 85004-1472 | 2019-09-16 |
| 1740832831 | Brandon Nehus | Behavior Analyst | 14603 Old York Rd, Phoenix, MD 21131-1441 | 2019-07-10 |
| 1689137309 | Dylan Marks | Behavior Analyst | 1117 E Beryl Ave, Phoenix, AZ 85020-1539 | 2019-04-09 |
| 1295297968 | Michelle Taylor | Behavior Analyst | 1625 W Pecan Rd, Phoenix, AZ 85041-4640 | 2019-04-02 |
| 1558823401 | Brian Kociszewski | Behavior Analyst | 2338 W Royal Palm Rd Ste J, Phoenix, AZ 85021-9339 | 2019-04-01 |
| 1134695034 | Jessica Rene Matus | Behavior Analyst | 1130 E Missouri Ave Ste 300, Phoenix, AZ 85014-2715 | 2018-10-17 |
| 1275038713 | Jamilah Amirah | Behavior Analyst | 11024 N 28th Dr Ste 110, Phoenix, AZ 85029 | 2018-03-27 |
| 1366959389 | Paige Nicole Huff | Behavior Analyst | 6232 N 7th St Ste 100, Phoenix, AZ 85014-1850 | 2017-12-29 |
| 1588178149 | Adventure Aba, LLC | Behavior Analyst | 16814 N 31st Ave, Phoenix, AZ 85053-3013 | 2017-11-18 |
| Find all providers in PHOENIX | ||||
| Street Address |
21725 N 20TH AVE STE 101-102 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85027-2640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942784376 | Crystal Rodriguez | Dentist | 2550 W Union Hills Dr Ste 201, Phoenix, AZ 85027 | 2018-09-21 |
| 1184119844 | Misty Lynn Pagan | Nurse Practitioner | 20414 N 27th Ave Fl 4, Phoenix, AZ 85027 | 2018-06-26 |
| 1790284776 | Lydia Kuuipo Chong | Nurse Practitioner | 20414 N 27th Ave #300, Phoenix, AZ 85027 | 2018-02-06 |
| 1457867004 | Kristi Marie Mathews | Nurse Practitioner | 19829 N 29th Avenue, Phoenix, AZ 85027 | 2017-12-19 |
| 1710348362 | The Empower House, LLC | Community Based Residential Treatment Facility, Mental Illness | 18631 N. 19th Ave., Suite 158-305, Phoenix, AZ 85027 | 2016-03-10 |
| 1972979656 | Dr Daniel H Yohannes D.d.s., PC | Dentist | 602 W. Union Hills Dr, #8, Phoenix, AZ 85027 | 2015-08-17 |
| 1013346857 | Dentistry At 35th Avenu | Dentist | 18635 N 35th Avenue, Phoenix, AZ 85027 | 2013-11-02 |
| 1437592102 | Ammar Alobaidy | Psychiatry & Neurology | 21410 N 19th Ave Ste 151, Phoenix, AZ 85027 | 2013-04-12 |
| 1124394515 | Sfjg Holdings LLC | Dentist | 3414 W. Union Hills Dr, Suite 12 & 14, Phoenix, AZ 85027 | 2012-03-29 |
| 1205117496 | Rocky Mountain Holdings LLC | Ambulance | 732 W Deer Valley Rd, Ste 209, Phoenix, AZ 85027 | 2011-09-01 |
| Find all providers in zip 85027 | ||||
Please comment or provide details below to improve the information on Az Sprout Mc 1 LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.