Az Sprout Mc 1 LLC
Behavior Analyst

Address: 21725 N 20th Ave Ste 101-102, Phoenix, AZ 85027-2640
Phone: 4805917312

Az Sprout Mc 1 LLC (NPI# 1225657547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1225657547
Entity Type Organization
Organization Name AZ SPROUT MC 1 LLC
Practice Address 21725 N 20th Ave Ste 101-102
Phoenix
AZ 85027-2640
Practice Telephone 4805917312
Practice Fax Number 9293847193
Mailing Address 21725 N 20th Ave Ste 101-102
Phoenix
AZ 85027-2640
Mailing Telephone 4805917312
Mailing Fax Number 9293847193
Authorized Official Name Yury Yakubchyk Sr. (OWNER)
Authorized Official Telephone 4805917312
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-04-16
Last Update Date 2020-04-16

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 103K00000X Behavior Analyst Behavioral Health & Social Service Providers

Other Provider/Organization Names

Other Name Type Code
Sprout Therapy Doing Business As Name - Organization

Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavior Analyst

Taxonomy Definition

A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053953943 Katelyn Paige Brown Behavior Analyst 4602 E University Dr Ste 130, Phoenix, AZ 85034-7430 2019-10-11
1487204087 Elizabeth Vos Behavior Analyst 2025 N 3rd St Ste 250, Phoenix, AZ 85004-1472 2019-09-16
1740832831 Brandon Nehus Behavior Analyst 14603 Old York Rd, Phoenix, MD 21131-1441 2019-07-10
1689137309 Dylan Marks Behavior Analyst 1117 E Beryl Ave, Phoenix, AZ 85020-1539 2019-04-09
1295297968 Michelle Taylor Behavior Analyst 1625 W Pecan Rd, Phoenix, AZ 85041-4640 2019-04-02
1558823401 Brian Kociszewski Behavior Analyst 2338 W Royal Palm Rd Ste J, Phoenix, AZ 85021-9339 2019-04-01
1134695034 Jessica Rene Matus Behavior Analyst 1130 E Missouri Ave Ste 300, Phoenix, AZ 85014-2715 2018-10-17
1275038713 Jamilah Amirah Behavior Analyst 11024 N 28th Dr Ste 110, Phoenix, AZ 85029 2018-03-27
1366959389 Paige Nicole Huff Behavior Analyst 6232 N 7th St Ste 100, Phoenix, AZ 85014-1850 2017-12-29
1588178149 Adventure Aba, LLC Behavior Analyst 16814 N 31st Ave, Phoenix, AZ 85053-3013 2017-11-18
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Office Location

Street Address 21725 N 20TH AVE STE 101-102
City PHOENIX
State AZ
Zip Code 85027-2640

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942784376 Crystal Rodriguez Dentist 2550 W Union Hills Dr Ste 201, Phoenix, AZ 85027 2018-09-21
1184119844 Misty Lynn Pagan Nurse Practitioner 20414 N 27th Ave Fl 4, Phoenix, AZ 85027 2018-06-26
1790284776 Lydia Kuuipo Chong Nurse Practitioner 20414 N 27th Ave #300, Phoenix, AZ 85027 2018-02-06
1457867004 Kristi Marie Mathews Nurse Practitioner 19829 N 29th Avenue, Phoenix, AZ 85027 2017-12-19
1710348362 The Empower House, LLC Community Based Residential Treatment Facility, Mental Illness 18631 N. 19th Ave., Suite 158-305, Phoenix, AZ 85027 2016-03-10
1972979656 Dr Daniel H Yohannes D.d.s., PC Dentist 602 W. Union Hills Dr, #8, Phoenix, AZ 85027 2015-08-17
1013346857 Dentistry At 35th Avenu Dentist 18635 N 35th Avenue, Phoenix, AZ 85027 2013-11-02
1437592102 Ammar Alobaidy Psychiatry & Neurology 21410 N 19th Ave Ste 151, Phoenix, AZ 85027 2013-04-12
1124394515 Sfjg Holdings LLC Dentist 3414 W. Union Hills Dr, Suite 12 & 14, Phoenix, AZ 85027 2012-03-29
1205117496 Rocky Mountain Holdings LLC Ambulance 732 W Deer Valley Rd, Ste 209, Phoenix, AZ 85027 2011-09-01
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Competitor

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City PHOENIX
Zip Code 85027

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.