| Sprout Pediatric Behavioral Services LLC | |
|
28884 Camino Santiago Winchester CA 92596-5508 | |
| (925) 886-4469 | |
| (877) 313-3694 |
| Full Name | Sprout Pediatric Behavioral Services LLC |
|---|---|
| Speciality | Behavior Analyst |
| Location | 28884 Camino Santiago, Winchester, California |
| Authorized Official Name and Position | Maria Trixy Ignacio (OWNER/BCBA) |
| Authorized Official Contact | 2068512106 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sprout Pediatric Behavioral Services LLC 28884 Camino Santiago Winchester CA 92596-5508 Ph: (925) 886-4469 | Sprout Pediatric Behavioral Services LLC 28884 Camino Santiago Winchester CA 92596-5508 Ph: (925) 886-4469 |
| NPI Number | 1427970920 |
|---|---|
| Provider Enumeration Date | 07/27/2026 |
| Last Update Date | 07/27/2026 |
| Certification Date | 07/27/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427970920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (NU) | Primary |
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