MISSOURI SPROUT MC 1 LLC (NPI# 1104454669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104454669 |
| Entity Type | Organization |
| Organization Name | MISSOURI SPROUT MC 1 LLC |
| Practice Address |
1828 Walnut St Fl 3 Kansas City MO 64108-1835 |
| Practice Telephone | 8163071677 |
| Mailing Telephone | 8163071677 |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2020-03-31 |
| Authorized Official Name | YURY YAKUBCHYK SR. (OWNER) |
| Authorized Official Telephone | 8163071677 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
1828 WALNUT ST FL 3 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64108-1835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962844886 | Lindsay Suzanne Marie Wilson | Chiropractor | 1828 Walnut St Fl 3, Kansas City, MO 64108 | 2013-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194345561 | Diversity Telehealth, LLC | Health Educator | 1601 East 18th Street, 320a, Kansas City, MO 64108 | 2020-04-25 |
| 1447894092 | Claire-louise Sophia Young | Student in an Organized Health Care Education/Training Program | Truman Medical Center - Department of Pathology, 2301 Holmes, Kansas City, MO 64108 | 2019-11-06 |
| 1053962415 | Kymberly Kline | Behavior Technician | Riley Aba & Autism Center, 1936 Summit St, Kansas City, MO 64108 | 2019-09-26 |
| 1841854643 | Mallak Ahmed Ghozlan Zatreh | Student in an Organized Health Care Education/Training Program | 2301 Homes Street, Kansas City, MO 64108 | 2019-04-26 |
| 1003470881 | Sindhuja Palle | Internal Medicine | Truman Medial Center, 2301 Holmes Dept. of Interal Medicine, Kansas City, MO 64108 | 2019-04-26 |
| 1467016253 | Osama Mahmoud Okasha | Internal Medicine | Truman Medicial Center, 2301 Holmes, Dept of Internal Medicine, Kansas City, MO 64108 | 2019-04-26 |
| 1730643719 | Michele D Smith | Registered Nurse | 2101 Charlotte Street, Urology, Kansas City, MO 64108 | 2019-01-24 |
| 1437640414 | Omar Fayez Ahmad Abuqamar | Student in an Organized Health Care Education/Training Program | Truman Medical Center, 2301 Holmes St., Dept. of Internal Medicine, Kansas City, MO 64108 | 2018-05-24 |
| 1992200190 | Hannah Rebekah Hurst | Student in an Organized Health Care Education/Training Program | 2101 Charlotte St Ste 200, Kansas City, MO 64108 | 2018-03-28 |
| 1659873404 | William Andrew Carroll | Chiropractor | 313 E. 17th St. #210, Kansas City, MO 64108 | 2018-03-07 |
| Find all providers in zip 64108 | ||||
| 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 |
|---|---|---|---|---|
| 1669015442 | Hailey Jamison | Behavioral Analyst | 5801 Nw 63rd St Apt 7007, Kansas City, MO 64151-3324 | 2019-10-23 |
| 1578020681 | Madison Summerfield | Behavioral Analyst | 5127 Lawn Ave, Kansas City, MO 64130-3148 | 2019-02-25 |
| 1700341344 | Ashley Oakes | Behavioral Analyst | 4240 Blue Ridge Blvd Ste 701, Kansas City, MO 64133-1709 | 2019-02-07 |
| 1053802637 | Kristin Mace | Behavioral Analyst | 248 Ne Barry Rd, Kansas City, MO 64155-2722 | 2018-05-19 |
| 1497258875 | Sarah Kempker | Behavioral Analyst | 5602 E 84th Ter Apt D, Kansas City, MO 64132-2760 | 2018-03-13 |
| 1992205629 | Riley Aba & Autism Center | Behavioral Analyst | 5627 Wornall Rd, Kansas City, MO 64113-1216 | 2018-02-19 |
| 1972028918 | Savanna Michelle Krull | Behavioral Analyst | 5422 Ne Circle Dr, Kansas City, MO 64119-2650 | 2017-08-10 |
| 1558881185 | Lindsey Turner | Behavioral Analyst | 1460 Nw Vivion Rd # 2, Kansas City, MO 64118-4555 | 2017-06-24 |
| 1629429048 | Jennifer Hull | Behavioral Analyst | 8114 N Drury Ave, Kansas City, MO 64119-7835 | 2016-06-27 |
| 1871947614 | Brittaney Krug | Behavioral Analyst | 3749 N Prospect St, Kansas City, MO 64117-2482 | 2016-04-18 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64108 |
Please comment or provide details below to improve the information on MISSOURI 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.