| Super Sprouts | |
|
1039 E 23rd St # 1010 Fremont NE 68025-2448 | |
| (347) 522-6032 | |
| Not Available |
| Full Name | Super Sprouts |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1039 E 23rd St # 1010, Fremont, Nebraska |
| Authorized Official Name and Position | Malka Birnbaum (MANAGER/OWNER) |
| Authorized Official Contact | 3475226032 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Super Sprouts 23 Holden Sq Lakewood NJ 08701-5828 Ph: (347) 522-6032 | Super Sprouts 1039 E 23rd St # 1010 Fremont NE 68025-2448 Ph: (347) 522-6032 |
| NPI Number | 1790654051 |
|---|---|
| Provider Enumeration Date | 11/04/2025 |
| Last Update Date | 02/27/2026 |
| Certification Date | 02/27/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790654051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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