| 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 |
|---|---|
| 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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