| Tn Mc Sprout 1 Llc | |
|
424 Church St Ste 2000 Nashville TN 37219-3304 | |
| (833) 991-2368 | |
| (929) 384-7193 |
| Full Name | Tn Mc Sprout 1 Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 424 Church St Ste 2000, Nashville, Tennessee |
| Authorized Official Name and Position | Yury Yakubchyk (OWNER) |
| Authorized Official Contact | 4805917312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tn Mc Sprout 1 Llc 424 Church St Ste 2000 Nashville TN 37219-3304 Ph: (833) 991-2368 | Tn Mc Sprout 1 Llc 424 Church St Ste 2000 Nashville TN 37219-3304 Ph: (833) 991-2368 |
| NPI Number | 1205411022 |
|---|---|
| Provider Enumeration Date | 03/12/2021 |
| Last Update Date | 09/27/2021 |
| Certification Date | 09/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205411022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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