MD MC SPROUT 1 LLC (NPI# 1477165868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477165868 |
| Entity Type | Organization |
| Organization Name | MD MC SPROUT 1 LLC |
| Practice Address |
7761 Diamondback Rd College Park MD 20740-3240 |
| Practice Telephone | 3012653520 |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |
| 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 |
7761 DIAMONDBACK RD |
| City | COLLEGE PARK |
| State | MD |
| Zip Code | 20740-3240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073147633 | S.a.f.e. Counseling Services LLC | Counselor | 6210 Greenbelt Road, L 4, Berwyn Heights, MD 20740 | 2020-02-23 |
| 1326528621 | Ryan Rehabilitation LLC | Counselor | 7100 Baltimore Ave Ste 105, College Park, MD 20740 | 2018-08-16 |
| 1760981120 | L. Jones-dove & Associates Tooth Spa LLC | Dentist | 6103 Greenbelt Road, College Park, MD 20740 | 2018-02-12 |
| 1538682257 | Heather Gambacorto | Behavior Technician | 3525 Marlbrough Way, College Park, MD 20740 | 2017-07-25 |
| 1841722691 | Bradley Weitzel | Specialist/Technologist | 4068 Field House Drive, College Park, MD 20740 | 2017-03-31 |
| 1083152284 | Kabrima Y Petty | Nurse Practitioner | 10201 Baltimore Ave Apt 5102, College Park, MD 20740 | 2017-02-08 |
| 1659728517 | Brownstone Project In Md | Community/Behavioral Health | 6201 Greenbelt Rd Ste M6, Berwyn Heights, MD 20740 | 2016-05-20 |
| 1114371093 | Thomas Lowell Bennett | Specialist/Technologist | 7675 Baltimore Ave, R 0100, College Park, MD 20740 | 2016-04-18 |
| 1306226808 | Linda Ronma Williams | Nurse Practitioner | 4701 Melbourne Place, College Park, MD 20740 | 2015-06-01 |
| 1124427927 | Sarah Elizabeth Woerner | Pharmacist | 7300 Baltimore Boulevard, College Park, MD 20740 | 2014-08-18 |
| Find all providers in zip 20740 | ||||
| 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 |
|---|---|---|---|---|
| 1619309267 | Marie Wilbert | Behavioral Analyst | 5134 Old National Hwy, Suite C, College Park, GA 30349-3286 | 2013-08-06 |
| 1912278474 | Lea Rose Dougherty | Behavioral Analyst | 1123g Biology Psychology Bldg, College Park, MD 20742-4400 | 2012-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629678974 | Personalized Academy of Learning Inc | Behavioral Analyst | 20945 Great Mills Rd Ste 201, Lexington Park, MD 20653-5304 | 2020-10-27 |
| 1235736521 | Ari Dinsmoor | Behavioral Analyst | 1150 Ripley St Apt 1308, Silver Spring, MD 20910-7431 | 2020-10-08 |
| 1386241750 | Alexander R Arevalo | Behavioral Analyst | 8558 Black Star Cir, Columbia, MD 21045-2649 | 2020-10-07 |
| 1366058083 | The House Project | Behavioral Analyst | 1314 Glyndon Ave, Baltimore, MD 21223-3613 | 2020-09-17 |
| 1548874753 | Jordan Christine Hoskinson | Behavioral Analyst | 2211 Penfield Ln, Bowie, MD 20716-1427 | 2020-09-04 |
| 1871105353 | Haley Armacost | Behavioral Analyst | 13850 Wayside Dr, Clarksville, MD 21029-1305 | 2020-08-17 |
| 1568071819 | Behavior Performance Project | Behavioral Analyst | 2312 Manor Spring Ter, Silver Spring, MD 20906-3267 | 2020-07-23 |
| 1245848142 | Hillary Grande | Behavioral Analyst | 2011 Reuter Rd, Timonium, MD 21093-4337 | 2020-07-16 |
| 1134737349 | Mohamed Lamin Mansaray | Behavioral Analyst | 9737 Mount Pisgah Rd Apt 1210, Silver Spring, MD 20903-2017 | 2020-07-14 |
| 1518585751 | Real Results Aba Services LLC | Behavioral Analyst | 350 Fortune Ter Ste C, Potomac, MD 20854-2910 | 2020-07-13 |
| Find all providers with the same taxonomy | ||||
| City | COLLEGE PARK |
| Zip Code | 20740 |
Please comment or provide details below to improve the information on MD MC SPROUT 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.