Wa Mc Sprout 1 LLC (NPI# 1881213429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider Identifier (NPI) | 1881213429 |
| Entity Type | Organization |
| Organization Name | WA MC SPROUT 1 LLC |
| Practice Address |
100 S King St Ste 100-1023 Seattle WA 98104-3844 |
| Practice Telephone | 2062784342 |
| Practice Fax Number | 9293847193 |
| Mailing Address |
100 S King St Ste 100-1023 Seattle WA 98104-3844 |
| Mailing Telephone | 2062784342 |
| Mailing Fax Number | 9293847193 |
| Authorized Official Name | Yury Yakubchyk Sr. (OWNER) |
| Authorized Official Telephone | 2062784342 |
| Organization Subpart | No, this organization is not a Subpart |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2020-04-14 |
| 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 |
|---|---|---|---|---|
| 1003416900 | Angelica Yu | Behavior Analyst | 9039 Greenwood Ave N Apt 104, Seattle, WA 98103-3978 | 2020-10-29 |
| 1023620606 | Marquicia Dominguez | Behavior Analyst | 3811a 12th Ave W, Seattle, WA 98119-1307 | 2020-08-17 |
| 1306462379 | B.a.n.d.s. | Behavior Analyst | 819 Virginia St Unit 1603, Seattle, WA 98101-4425 | 2020-06-24 |
| 1427688845 | Daniela Michell Zepeda | Behavior Analyst | 4616 25th Ave Ne Pmb 437, Seattle, WA 98105 | 2020-01-24 |
| 1902442676 | Gwendolyn Pinson | Behavior Analyst | Josephinum 1902 2nd Ave, Seattle, WA 98101-5777 | 2019-11-18 |
| 1538700109 | Hannah Stemple | Behavior Analyst | 7016 15th Ave Ne, Seattle, WA 98115-5732 | 2019-10-03 |
| 1255982328 | Daniel Zahajko | Behavior Analyst | 531 Ne 86th St, Seattle, WA 98115-2930 | 2019-09-20 |
| 1912560459 | Allison Chancellor, LLC | Behavior Analyst | 1222 E Madison St Apt 419, Seattle, WA 98122-4221 | 2019-04-19 |
| 1487117891 | Nirupama Madhavan | Behavior Analyst | 5001 25th Ave Ne, Seattle, WA 98105 | 2019-04-11 |
| 1811451651 | Deqa Mohamed | Behavior Analyst | 4616 Mlk Jr Way S, Seattle, WA 98108-2159 | 2019-01-25 |
| Find all providers in SEATTLE | ||||
| Street Address |
100 S KING ST STE 100-1023 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98104-3844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394312 | Richard Charles Harruff | Pathology | King County Medical Examiners Office, 325 Ninth Avenue, Seattle, WA 98104 | 2020-04-13 |
| 1558999474 | Nathan Richard Benner | Student in an Organized Health Care Education/Training Program | Uw Medicine-harborview Medical Center Orthopaedics, 325 Ninth Avenue, Seattle, WA 98104 | 2020-03-27 |
| 1063058493 | Brook, LLC. | Health Educator | 311 1/2 Occidental Ave South, Suite 210, Seattle, WA 98104 | 2019-11-20 |
| 1609418813 | Stephanie Amanda Ann Mason | Student in an Organized Health Care Education/Training Program | 325 9th Avenue, Mail Stop #359796, Seattle, WA 98104 | 2019-10-09 |
| 1013480250 | Robert Kenneth Lozier | Pedorthist | Norm Maleng Building, 410 9th Ave, 4th Floor, Seattle, WA 98104 | 2019-01-10 |
| 1548739576 | Lee Hanses | Physical Therapist | 1124 Columbia Street, Level P1, Suite P100, Seattle, WA 98104 | 2018-11-20 |
| 1821579095 | Karissa Lin Lee | Pharmacist | 401 Broadway #2075, Seattle, WA 98104 | 2018-08-27 |
| 1477042091 | Maham Jehangir | Student in an Organized Health Care Education/Training Program | 325 9th Ave Department of Radiology, Seattle, WA 98104 | 2018-05-09 |
| 1740786581 | Philip Daniel Tolley | Student in an Organized Health Care Education/Training Program | 325 9th Ave. Mail Stop#359796, 7th Floor Center Tower Rm #73.1, Seattle, WA 98104 | 2018-04-02 |
| 1528564242 | Vanessa Dawn Leonhard | Student in an Organized Health Care Education/Training Program | 325 9th Ave, 7th Floor Center Tower Room 73.1, Mail Stop #359796, Seattle, WA 98104 | 2018-04-02 |
| Find all providers in zip 98104 | ||||
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| 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.