Sprout Therapy And Support Services Llc | |
433 Forest Ave Teaneck NJ 07666-2773 | |
(201) 873-1548 | |
Not Available |
Full Name | Sprout Therapy And Support Services Llc |
---|---|
Speciality | Behavior Analyst |
Location | 433 Forest Ave, Teaneck, New Jersey |
Authorized Official Name and Position | Adina Levine Milgram (BCBA) |
Authorized Official Contact | 2018731548 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sprout Therapy And Support Services Llc 433 Forest Ave Teaneck NJ 07666-2773 Ph: (201) 873-1548 | Sprout Therapy And Support Services Llc 433 Forest Ave Teaneck NJ 07666-2773 Ph: (201) 873-1548 |
NPI Number | 1043832470 |
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Provider Enumeration Date | 05/07/2020 |
Last Update Date | 05/07/2020 |
Certification Date | 05/07/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043832470 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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