OH SPROUT MC 1 LLC (NPI# 1720607674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720607674 |
| Entity Type | Organization |
| Organization Name | OH SPROUT MC 1 LLC |
| Practice Address |
6539 Harrison Ave Ste 1145 Cincinnati OH 45247-7822 |
| Practice Telephone | 5138544642 |
| Practice Fax Number | 9293847193 |
| Mailing Telephone | 5138544642 |
| Mailing Fax Number | 9293847193 |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2020-04-10 |
| Authorized Official Name | YURY YAKUBCHYK SR. (OWNER) |
| Authorized Official Telephone | 5138544642 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Sprout Therapy | Doing Business As Name - Organization |
| Street Address |
6539 HARRISON AVE STE 1145 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45247-7822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194368118 | Kimberly Carol Downs | Licensed Practical Nurse | 6460 Harrison Avenue, Cincinnati, OH 45247 | 2019-10-22 |
| 1487130100 | Stacey G Coleman | Counselor | 6860 Harrison Ave, Suite 200, Cincinnati, OH 45247 | 2018-07-16 |
| 1922526524 | Tawnya Mcnulty | Occupational Therapy Assistant | 6165 Taylor Road, Cincinnati, OH 45247 | 2017-09-02 |
| 1942733704 | Mary Kathleen Herman | Dentist | 8111 Cheviot Rd Ste 102, Cincinnati, OH 45247 | 2017-04-09 |
| 1831501287 | Cesar Mel Froilan Cabigon | Internal Medicine | 8132 Fawn Lake Ct Loc 251, Cincinnati, OH 45247 | 2014-05-20 |
| 1447699459 | Mullaney Medical, Inc | Durable Medical Equipment & Medical Supplies | 5907 Cheviot Rd, Cincinnati, OH 45247 | 2013-06-24 |
| 1891035994 | Tara Mcintosh | Pharmacist | 6552 Harrison Rd, Cincinnati, OH 45247 | 2013-02-26 |
| 1629353677 | Teresa Zuidema | Pharmacist | 5403 North Bend Ave., Cincinnati, OH 45247 | 2011-10-20 |
| 1982842159 | Timothy John Kreimer | Dentist | 3560 Blue Rock Rd, Cincinnati, OH 45247 | 2009-01-27 |
| 1437219961 | Donald R Murdock | Dentist | 5420 North Bend Rd, Cincinnati, OH 45247 | 2006-12-12 |
| Find all providers in zip 45247 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514652 | Songbird Health Oh LLC | Behavioral Analyst | 6809 Main St Unit 64, Cincinnati, OH 45244-3470 | 2020-10-07 |
| 1962046003 | Amari N Burrell | Behavioral Analyst | St. Aloycius Orphanage 4721 Reading Rd., 4721 Reading Road, Cincinnati, OH 45237-4523 | 2019-11-01 |
| 1861969800 | Chelsey Lynn Uckotter | Behavioral Analyst | 831 Dorgene Ln, Cincinnati, OH 45244-5009 | 2018-10-29 |
| 1225523558 | Aaron Jerrell Brown | Behavioral Analyst | 52 Ridgeway Rd, Cincinnati, OH 45216-1002 | 2018-06-28 |
| 1093232183 | Kelli Marie Hyde | Behavioral Analyst | 1255 Kemper Meadow Dr, Cincinnati, OH 45240-1633 | 2017-08-29 |
| 1225581887 | Mario Cannon | Behavioral Analyst | 4330 Smith Rd Apt 2, Cincinnati, OH 45212-4231 | 2016-08-01 |
| 1578916607 | Behavioral Intervention and Consulting | Behavioral Analyst | 3322 Erie Ave, Suite 4, Cincinnati, OH 45208-1655 | 2016-07-13 |
| 1104275460 | Fattore Behavioral Consultants, LLC | Behavioral Analyst | 1416 Grand Oaks Dr, Cincinnati, OH 45255-7008 | 2016-06-08 |
| 1285090597 | Elizabeth Bahorik | Behavioral Analyst | 6409 Orchard Ln, Cincinnati, OH 45213-1105 | 2016-01-04 |
| 1205237674 | Javon Monique Dean | Behavioral Analyst | 1876 Kinney Ave, Cincinnati, OH 45207-1824 | 2014-09-04 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45247 |
Please comment or provide details below to improve the information on OH SPROUT MC 1 LLC.
| 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.