SPROUT THERAPY GROUP, PLLC (NPI# 1780212282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780212282 |
| Entity Type | Organization |
| Organization Name | SPROUT THERAPY GROUP, PLLC |
| Practice Address |
1800 154th Ave Ne Apt E240 Bellevue WA 98007-4381 |
| Practice Telephone | 8437435636 |
| Mailing Telephone | 8437435636 |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2020-03-30 |
| Authorized Official Name | CAMERON ANDREWS MILLICAN (OWNER) |
| Authorized Official Telephone | 8437435636 |
| Authorized Official Credential | BCABA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | SPROUT THERAPY GROUP, PLLC | 1800 154th Ave Ne Apt E240, Bellevue, WA 98007-4381 |
| Street Address |
1800 154TH AVE NE APT E240 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98007-4381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204947 | Janet Delgado | Interpreter | 3000 Landerholm Cir Se, Bellevue, WA 98007 | 2020-10-29 |
| 1467092643 | Stephanie Schaal | Counselor | 15395 Se 30th Place Ste 120, Bellevue, WA 98007 | 2020-01-15 |
| 1740824358 | Alison Elizabeth Campbell | Massage Therapist | 14575 Ne Bel Red Rd Ste 100, Bellevue, WA 98007 | 2019-11-06 |
| 1275188021 | Pacific Coast Health Care, Pllc | Internal Medicine | Mission Healthcare At Bellevue, 2424 156th Avenue Ne, Bellevue, WA 98007 | 2019-08-08 |
| 1417475054 | Terasak Roeksbutr | Dietitian, Registered | 109 146th Ave Se, Bellevue, WA 98007 | 2017-09-04 |
| 1083130934 | Po-lung Wu | Acupuncturist | 693 156th Ave Se, Bellevue, WA 98007 | 2017-08-22 |
| 1689117319 | Audrey K. Tatt D.d.s. P.l.l.c. | Dentist | 15419 Ne 20th St. #206, Bellevue, WA 98007 | 2016-11-29 |
| 1952751836 | Mona Ebrahimi | Student in an Organized Health Care Education/Training Program | 14270 Ne 21st, Rainbow Creek, Bellevue, WA 98007 | 2016-06-21 |
| 1578939302 | Walgreen | Student in an Organized Health Care Education/Training Program | 15220 156th Ne, Bellevue, WA 98007 | 2015-08-17 |
| 1750767406 | Anar Veliyev | Physical Therapist | 14828 Ne 12th St, Bellevue, WA 98007 | 2015-08-05 |
| Find all providers in zip 98007 | ||||
| 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 |
|---|---|---|---|---|
| 1639690357 | Nicolas Lopez-montalvo | Behavioral Analyst | 3003 Northup Way Suite 200, Bellevue, WA 98004 | 2017-07-03 |
| 1417486218 | Alexandra Nicole Detzner | Behavioral Analyst | 12729 Northup Way Ste 23, Bellevue, WA 98005-1935 | 2017-06-06 |
| 1568900199 | Pamela Lyons | Behavioral Analyst | 14434 Ne 8th St Ste 2, Bellevue, WA 98007-4146 | 2017-02-02 |
| 1841743770 | Masumi Oki | Behavioral Analyst | 929 109th Ave Ne, Bellevue, WA 98004-4404 | 2016-07-27 |
| 1437509817 | Lindsay Boyer | Behavioral Analyst | 708 Broadway St, Bellevue, IA 52031-9319 | 2016-06-16 |
| 1043664360 | Grace Eugene Lee | Behavioral Analyst | 14510 Ne 20th St, #203, Bellevue, WA 98007-3715 | 2016-04-22 |
| 1992189567 | Elizabeth Chase | Behavioral Analyst | 13010 Ne 20th St., Ste 300, Bellevue, WA 98005-2099 | 2015-07-14 |
| 1477934123 | Kathleen Girnus | Behavioral Analyst | 13010 Ne 20th St Ste 100, Bellevue, WA 98005-2037 | 2015-06-17 |
| 1558740613 | Alicia Hannah Cable | Behavioral Analyst | 13256 Ne 20th Street Suite 1, Bellevue, WA 98005 | 2015-05-22 |
| 1285021410 | Riley Moncrief | Behavioral Analyst | 2818 Comstock Plz Apt A, Bellevue, NE 68123-6543 | 2015-04-26 |
| Find all providers in BELLEVUE | ||||
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| 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.