SKILL SPROUT, LLC (NPI# 1659600948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659600948 |
| Entity Type | Organization |
| Organization Name | SKILL SPROUT, LLC |
| Practice Address |
128 Washington Square Washington IL 61571 |
| Practice Telephone | 8007731682 |
| Practice Fax Number | 8007731682 |
| Mailing Telephone | 8007731682 |
| Mailing Fax Number | 8007731682 |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2012-07-24 |
| Authorized Official Name | AMY SHYMANSKY (OWNER / OPERATOR) |
| Authorized Official Telephone | 8007731682 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1084887 | MD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396106647 | Skill Sprout, LLC | Social Worker | 8500 N Knoxville Ave, Ste Ab, Peoria, IL 61615-2079 | 2016-03-15 |
| Street Address |
128 WASHINGTON SQUARE |
| City | WASHINGTON |
| State | IL |
| Zip Code | 61571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902207731 | Melissa Grandsart | Speech-Language Pathologist | 128 Washington Square, Washington, IL 61571 | 2014-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164904504 | Kelly Hornberger | Physical Therapist | 1201 Newcastle Rd., Washington, IL 61571 | 2018-09-01 |
| 1073050407 | Jillyn Cross | Occupational Therapist | 14 Oxford Court, Washington, IL 61571 | 2017-01-24 |
| 1639410772 | Stephen L Dejaynes | Counselor | 100 Hillcrest Drive, Washington, IL 61571 | 2013-03-14 |
| 1184998692 | One Counseling and Wellness | Counselor | 1003 North Cummings Lane, Washington, IL 61571 | 2012-03-01 |
| 1871878371 | M Lisa Kim | Pharmacist | 1700 Saddleridge Ct, Washington, IL 61571 | 2011-10-15 |
| 1073805156 | Skill Sprout International | Behavioral Analyst | 102 Walnut Street, Washington, IL 61571 | 2011-05-09 |
| 1700024916 | Julie Adams | Developmental Therapist | 700 S. Elm, Washington, IL 61571 | 2009-01-26 |
| 1851595128 | Michael John Herman | Dentist | 106 So Cummings Lane, Washington, IL 61571 | 2007-06-12 |
| 1861539132 | Gary Lee Cunningham | Dentist | 5 Laurel Ct., Washington, IL 61571 | 2007-01-30 |
| 1790745958 | Jane A Goeken | Physical Therapist | 209 North Cummings Lane, Washington, IL 61571 | 2006-03-23 |
| Find all providers in zip 61571 | ||||
| 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 |
|---|---|---|---|---|
| 1518598408 | Rachel Elizabeth Enos | Behavioral Analyst | 403 1/2 Seward Sq Se, Washington, DC 20003-1113 | 2020-01-29 |
| 1881237865 | Powers Behavior Analysis | Behavioral Analyst | 1236 Eton Ct Nw, Washington, DC 20007-3241 | 2019-10-23 |
| 1720633902 | Tara Weiss | Behavioral Analyst | 3325 18th St Nw, Washington, DC 20010-1003 | 2019-08-05 |
| 1740842079 | Rachel Jourdan | Behavioral Analyst | 1440 N St Nw, Washington, DC 20005-2814 | 2019-07-08 |
| 1093376774 | Charline Smith-johnson | Behavioral Analyst | 1356 Adams St Ne, Washington, DC 20018-3545 | 2019-06-24 |
| 1144886417 | Paola Alexandra Matos Franceschini | Behavioral Analyst | 613 Forrester St Se, Washington, DC 20032-3539 | 2019-05-13 |
| 1710542576 | Michelle Marie Sandilands | Behavioral Analyst | 327 34th Pl Ne, Washington, DC 20019-1407 | 2019-05-07 |
| 1649746397 | Quitibilla L Lyons | Behavioral Analyst | 1215 Simms Pl Ne Apt 3, Washington, DC 20002-7824 | 2018-10-21 |
| 1033685953 | Wellness Health Services, LLC | Behavioral Analyst | 4944 S Dakota Ave Ne Ste 3, Washington, DC 20017-3915 | 2018-10-18 |
| 1306325329 | Shana L Rodriguez | Behavioral Analyst | 300 M St Sw # N602, Washington, DC 20024-4019 | 2018-08-09 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 61571 |
Please comment or provide details below to improve the information on SKILL SPROUT, 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.