| Neurosprout Aba Md Llc | |
|
1777 Reisterstown Rd Ste 290 Baltimore MD 21208-1390 | |
| (213) 332-8893 | |
| Not Available |
| Full Name | Neurosprout Aba Md Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1777 Reisterstown Rd Ste 290, Baltimore, Maryland |
| Authorized Official Name and Position | Yitzchak Seleh (OWNER) |
| Authorized Official Contact | 2133328893 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurosprout Aba Md Llc 1241 Edris Dr Los Angeles CA 90035-1113 Ph: (213) 332-8893 | Neurosprout Aba Md Llc 1777 Reisterstown Rd Ste 290 Baltimore MD 21208-1390 Ph: (213) 332-8893 |
| NPI Number | 1083412928 |
|---|---|
| Provider Enumeration Date | 03/06/2025 |
| Last Update Date | 03/06/2025 |
| Certification Date | 03/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083412928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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