OR MC SPROUT 1 LLC (NPI# 1235753138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235753138 |
| Entity Type | Organization |
| Organization Name | OR MC SPROUT 1 LLC |
| Practice Address |
700 Sw 5th Ave Portland OR 97204-2000 |
| Practice Telephone | 7862108200 |
| Mailing Telephone | 7862108200 |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2020-06-05 |
| Authorized Official Name | YURY YAKUBCHYK SR. (OWNER) |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | OR MC SPROUT 1 LLC | 700 Sw 5th Ave, Portland, OR 97204 |
| Street Address |
700 SW 5TH AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97204-2000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922662352 | Sleep Management, L.L.C. | Respiratory Therapist, Registered | 1050 Sw 6th Avenue, Suite 1100 Office # 52, Portland, OR 97204 | 2019-05-01 |
| 1588178701 | Daniel Hendrickson | Pharmacist | 503 Sw 5th Avenue, Portland, OR 97204 | 2017-11-27 |
| 1790133031 | Modupe Desiree Bansile | Counselor | 209 Sw Fourth Ave, Suite 520, Portland, OR 97204 | 2016-05-26 |
| 1841655834 | Isabella Zaragoza | Counselor | 421 Sw Oak St Suite 520, Portland, OR 97204 | 2015-12-18 |
| 1952737736 | Hessler-cohen Enterprises LLC | Acupuncturist | 310 Sw 4rth Avenue, Suite 725, Portland, OR 97204 | 2013-09-24 |
| 1144583378 | Angela Nicole Johnson | Physical Therapist | 555 Sw Oak Street, Portland, OR 97204 | 2012-06-22 |
| 1255614624 | Jaclyn Rene Jones | Nurse Practitioner | 601 Sw 4th Ave, Portland, OR 97204 | 2011-09-22 |
| 1407148398 | Cristianne Paulsen | Dental Hygienist | 426 Sw Stark, 9th Floor, Portland, OR 97204 | 2011-05-10 |
| 1396928255 | Jessica L Hall | Counselor | 421 Sw Oak Street, Suite 520, Portland, OR 97204 | 2007-12-13 |
| 1699896274 | Julie Anne Oyemaja | Counselor | 421 Sw Oak St., Ste. 210, Portland, OR 97204 | 2007-04-02 |
| Find all providers in zip 97204 | ||||
| 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 |
|---|---|---|---|---|
| 1376158055 | Compassionate Therapy for Autism, LLC | Behavioral Analyst | 6124 Se Milwaukie Ave Ste 205203, Portland, OR 97202-5347 | 2020-09-10 |
| 1588276364 | Climb Behavioral Solutions, LLC | Behavioral Analyst | 809b Se Sherman St, Portland, OR 97214-4666 | 2020-08-21 |
| 1205448164 | Moore Therapy Services, LLC | Behavioral Analyst | 2053 Se 181st Ave, Portland, OR 97233 | 2020-08-20 |
| 1326659186 | Kelly Stafford | Behavioral Analyst | 6195 N Minnesota Ave Apt 1d, Portland, OR 97217-4788 | 2020-08-13 |
| 1316569254 | Debra Shamblin | Behavioral Analyst | 150 Ne 100th Ave, Portland, OR 97220 | 2020-05-14 |
| 1528692746 | Gregory Scott | Behavioral Analyst | 4111 Se 15th Ave, Portland, OR 97202-3925 | 2020-02-26 |
| 1134781776 | Sarah Anthony-hilgert | Behavioral Analyst | 7140 Sw Fir Loop Ste 105, Portland, OR 97223-8062 | 2019-07-03 |
| 1316506868 | Adi Einstein | Behavioral Analyst | 2234 Ne 44th Ave, Portland, OR 97213-1340 | 2019-06-09 |
| 1780248849 | Behavioral Learning Network - Oregon LLC | Behavioral Analyst | 1827 Ne 44th Ave Ste 390, Portland, OR 97213-1461 | 2019-04-24 |
| 1033678685 | Samantha Joelle Sposito | Behavioral Analyst | 6707 N Van Houten Ave, Portland, OR 97203-5243 | 2019-03-13 |
| Find all providers in PORTLAND | ||||
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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.