Or Mc Sprout 1 LLC
Behavior Analyst in Portland, OR. Organization (NPI-2).
NPI number1235753138
StatusActive
Last updated in NPPESSep 27, 2021
Details
- NPI
- 1235753138
- Entity type
- Organization (NPI-2)
- Legal business name
- Or Mc Sprout 1 LLC
- Organization subpart
- No
- Enumeration date
- Jun 5, 2020
- Certification date
- Sep 27, 2021
- Last updated
- Sep 27, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Other names
- Elemy (Doing Business As)
- Sprout Therapy (Doing Business As)
Practice location
10260 Sw Greenburg Rd Fl 4Portland, OR 97223-5500
Phone 833-991-7193 · Fax 929-384-7193
Mailing address
10260 Sw Greenburg Rd Fl 4Portland, OR 97223-5500
Phone 833-991-7193 · Fax 929-384-7193
Authorized official
Yury Yakubchyk
Owner
7862108200
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