TX MC SPROUT 1 LLC (NPI# 1326677212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326677212 |
| Entity Type | Organization |
| Organization Name | TX MC SPROUT 1 LLC |
| Practice Address |
5323 Levander Loop Austin TX 78702-5146 |
| Practice Telephone | 4699040159 |
| Mailing Telephone | 4699040159 |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2020-04-03 |
| Authorized Official Name | YURY YAKUBCHYK SR. (OWNER) |
| Authorized Official Telephone | 4699040159 |
| 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 |
5323 LEVANDER LOOP |
| City | AUSTIN |
| State | TX |
| Zip Code | 78702-5146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245942 | Jami Yurcak | Behavior Technician | 5323 Levander Loop, Austin, TX 78702-5146 | 2020-11-02 |
| 1144828153 | Suzie Mcdaniel | Behavior Technician | 5323 Levander Loop, Austin, TX 78702-5146 | 2020-10-12 |
| 1023615275 | Amanda Rose Hidalgo | Behavior Technician | 5323 Levander Loop, Austin, TX 78702-5146 | 2020-10-01 |
| 1508473448 | Aria Robinson | Behavior Technician | 5323 Levander Loop, Austin, TX 78702-5146 | 2020-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487207171 | Enamel Dentistry Saltillo, Pllc | Clinic/Center | 901 E. 5th Street, Suite 170, Austin, TX 78702 | 2019-07-22 |
| 1730678616 | Marci Lawson | Counselor | 1103 Cherico St Unit 3, Austin, TX 78702 | 2018-05-06 |
| 1730608340 | Gloria Robertson Hatfield | Social Worker | 501 N I-35, Ste 112, Austin, TX 78702 | 2017-09-14 |
| 1083063168 | Nona Mason | Nurse Practitioner | Ascension Seton Mccarthy Community Health Center, 2811 East 2nd Street, Austin, TX 78702 | 2016-06-08 |
| 1124487467 | Sarah Beth Mclaughlin | Social Worker | 1631 E. 2nd St., Bldg. E, Austin, TX 78702 | 2016-02-15 |
| 1972969590 | Austin Mind Body | Counselor | 905 E. 5th Street, Suite 102, Austin, TX 78702 | 2016-01-12 |
| 1972976777 | Stacy Griffin | Social Worker | 1631 E. 2nd Street, Austin, TX 78702 | 2015-11-03 |
| 1396111894 | Jocelyn Jarmon | Health Maintenance Organization | 1803 Ulit Avenue, Austin, TX 78702 | 2015-08-19 |
| 1396142972 | Jillessa Fiorillo | Social Worker | 1631-d East 2nd Street, Austin, TX 78702 | 2014-11-26 |
| 1518390962 | Emily Anna Murray | Physical Therapist | 1621 E 6th St # 11488, Austin, TX 78702 | 2013-08-20 |
| Find all providers in zip 78702 | ||||
| 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 |
|---|---|---|---|---|
| 1194325522 | Sridivya Pattisam | Behavioral Analyst | 1215 W Slaughter Ln Apt 534, Austin, TX 78748-6709 | 2020-10-26 |
| 1942817200 | Songbird Health Tx LLC | Behavioral Analyst | 1401 Lavaca St, Austin, TX 78701-1634 | 2020-09-29 |
| 1962020099 | Mayra Cristina Barreda | Behavioral Analyst | 2000 Cedar Bend Dr Apt 1134, Austin, TX 78758-5351 | 2020-07-06 |
| 1740802206 | Roots, Aba Therapy and Consulting Services LLC | Behavioral Analyst | 3715 S. 1st St, #464, Austin, TX 78704 | 2020-05-07 |
| 1922632405 | Little Light Aba, LLC | Behavioral Analyst | 6001 W Parmer Ln Ste 370 #3064, Austin, TX 78727 | 2020-02-24 |
| 1417580648 | Ashley K Bloodworth | Behavioral Analyst | 2100 Kramer Ln Ste 300, Austin, TX 78758-4094 | 2020-02-17 |
| 1376173013 | Haley Erin Van Klompenburg | Behavioral Analyst | 5700 S Mo Pac Expy Ste 310, Austin, TX 78749-1457 | 2020-01-22 |
| 1386282630 | Kourtney Souza | Behavioral Analyst | 1500 S Lamar Blvd Apt 2015, Austin, TX 78704-2944 | 2019-12-18 |
| 1447891098 | Vision Aba | Behavioral Analyst | 6205 Adel Cv, Austin, TX 78749-1656 | 2019-10-04 |
| 1194366740 | Monica Leann Woodworth | Behavioral Analyst | 5700 S Mopac Expy, C310, Austin, TX 78749 | 2019-10-04 |
| Find all providers in AUSTIN | ||||
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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.