| NPI | 1801415237 |
|---|---|
| Doing Business As | SPROUT THERAPY |
| Entity Type | Organization |
| Authorized Contact | YURY YAKUBCHYK Owner 317-647-4173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2021-09-27 |