MA MC SPROUT 1 LLC (NPI# 1235740572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235740572 |
| Entity Type | Organization |
| Organization Name | MA MC SPROUT 1 LLC |
| Practice Address |
1 Beacon St Boston MA 02108-3107 |
| Practice Telephone | 6176657794 |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2020-08-11 |
| Authorized Official Name | MICHAEL RAGHEB (COO) |
| Authorized Official Telephone | 7862108200 |
| 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 |
1 BEACON ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02108-3107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366947954 | Karrin Weisenthal | Emergency Medicine | 1 Boston Pl Rm 1322, Boston, MA 02108 | 2018-03-27 |
| 1619225786 | Ahmed M Hamada-ibrahim | Dentist | 32 Tremont Sytreet, Citidental, Boston, MA 02108 | 2012-08-21 |
| 1114226750 | Richard J Osorio | Counselor | 30 Winter Street, Boston Asap, Boston, MA 02108 | 2011-03-22 |
| 1487956835 | Melissa Jean Leite | Dental Hygienist | 250 Washington Street, Boston, MA 02108 | 2010-11-17 |
| 1518274117 | Ada Stefanescu | Internal Medicine | Mgh Downtown Associates, 294 Washington St Ste 210, Boston, MA 02108 | 2010-09-03 |
| 1679798599 | Lauren Carter Ledbetter | Social Worker | Ten Milk Street, Boston, MA 02108 | 2007-04-16 |
| 1790900157 | Lawrence K Gottlieb | Internal Medicine | Intermed Advisors Inc., One Boston Place, Suite 2815, Boston, MA 02108 | 2007-04-13 |
| 1285761841 | Gerardo A Yanayaco | Internal Medicine | Laser Hair Removal, LLC, 333 Washington Street, #221, Boston, MA 02108 | 2007-02-28 |
| 1295863603 | William F Sullivan | Counselor | Adcare, 14 Beacon Street, 801, Boston, MA 02108 | 2007-02-28 |
| 1659432573 | Madeleine I Littman | Psychologist | 15 Court Square, Suite 830, Boston, MA 02108 | 2006-12-13 |
| Find all providers in zip 02108 | ||||
| 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 |
|---|---|---|---|---|
| 1407455264 | Jennifer Anne Espinal | Behavioral Analyst | 418 Centre St, Boston, MA 02130-5197 | 2020-10-22 |
| 1427661123 | Family Behavioral Solutions | Behavioral Analyst | 15 E Springfield St Apt 1, Boston, MA 02118-3364 | 2020-08-24 |
| 1124670047 | Etianna A Etienne | Behavioral Analyst | 9 Ruggles St Apt 5, Boston, MA 02119-2037 | 2019-07-11 |
| 1720630890 | Rashard Alexander Taylor | Behavioral Analyst | 15 Delle Ave Apt 3, Boston, MA 02120-2921 | 2019-07-09 |
| 1720646425 | Nisha Dormevil | Behavioral Analyst | 89 Easton Street Allston Boston, 1, Boston, MA 02134-1408 | 2019-05-29 |
| 1184192379 | Kayla Marie Kennedy | Behavioral Analyst | 139 Charles St, Boston, MA 02114-3282 | 2018-11-06 |
| 1831682566 | Cameron Michael Shalkowski | Behavioral Analyst | 139 Charles St Ste 388, Boston, MA 02114-3282 | 2018-06-07 |
| 1811405814 | Emily Ann Starvaski | Behavioral Analyst | 58 Mansfield St Apt 3, Boston, MA 02134-1400 | 2018-01-12 |
| 1619482668 | Boston Behavior Services Education and Treatment | Behavioral Analyst | 62 Saint Rose St # 3, Boston, MA 02130-3956 | 2017-12-12 |
| 1477065761 | Abilities Aba Services | Behavioral Analyst | 800 Boylston St Lbby, Boston, MA 02199-7000 | 2017-10-26 |
| Find all providers in BOSTON | ||||
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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.