IN SPROUT MC 1 LLC (NPI# 1801415237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801415237 |
| Entity Type | Organization |
| Organization Name | IN SPROUT MC 1 LLC |
| Practice Address |
550 Congressional Blvd Ste 115 Carmel IN 46032-5644 |
| Practice Telephone | 3176474173 |
| Practice Fax Number | 9293847193 |
| Mailing Telephone | 3176474173 |
| Mailing Fax Number | 9293847193 |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2020-04-15 |
| Authorized Official Name | YURY YAKUBCHYK SR. (OWNER) |
| Authorized Official Telephone | 3176474173 |
| 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 |
550 CONGRESSIONAL BLVD STE 115 |
| City | CARMEL |
| State | IN |
| Zip Code | 46032-5644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306444682 | Songbird Health In LLC | Behavioral Analyst | 550 Congressional Blvd Ste 115, Carmel, IN 46032-5644 | 2020-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235769662 | Sharon M.b. Tedder | Counselor | 1980 E. 116th St., Suite 220, Carmel, IN 46032 | 2020-01-24 |
| 1144869983 | Genesia Simmons | Occupational Therapy Assistant | 118 Medical Drive, Carmel, Indiana, OH 46032 | 2019-12-26 |
| 1962069088 | Dei of Indiana, Inc. | Optometrist | 3985 W. 106th Street, Suite 120, Carmel, IN 46032 | 2019-05-23 |
| 1427518737 | Ayesha Kias | Physical Therapist | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2019-03-22 |
| 1104305952 | Megan Nicole Neitling | Counselor | 600 E Carmel Dr Ste 146, Carmel, IN 46032 | 2018-08-13 |
| 1154817427 | Open Doors Counseling and Consulting LLC | Nurse Practitioner | 11495 N Pennsylvania, Suite 105, Carmel, IN 46032 | 2018-07-10 |
| 1326533837 | Emily Jo Hardy | Physical Therapy Assistant | Lifespan Therapy 118 Medical Drive, Carmel, IN 46032 | 2018-06-27 |
| 1770086845 | Erin Reagan | Occupational Therapist | 1118 Havest Ct., Carmel, IN 46032 | 2018-03-14 |
| 1356859748 | Maricelia Serrano | Physical Therapy Assistant | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2018-01-19 |
| 1417472234 | Leigh Anne Rozsas | Pharmacist | 1424 S Rangeline Road, Carmel, IN 46032 | 2017-08-14 |
| Find all providers in zip 46032 | ||||
| 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 |
|---|---|---|---|---|
| 1316561087 | Autism Companion Services | Behavioral Analyst | 148 W Greyhound Pass, Carmel, IN 46032-7003 | 2020-05-29 |
| 1730714361 | Father's Love Behavioral Solutions LLC | Behavioral Analyst | 4310 Rolling Springs Dr, Carmel, IN 46033-3769 | 2020-03-04 |
| 1598306045 | Brian Raves | Behavioral Analyst | 1081 3rd Ave Sw Ste 2, Carmel, IN 46032-7500 | 2019-10-07 |
| 1043733751 | Jane Roei Yip | Behavioral Analyst | 1033 Third Ave Sw, Suite 109, Carmel, IN 46032 | 2017-07-25 |
| 1285085977 | Veronica Robinson | Behavioral Analyst | 1201 Golfview Dr, Apt F, Carmel, IN 46032-4727 | 2016-06-24 |
| 1942645353 | Brooke Taylor Jordan | Behavioral Analyst | 11450 N Meridian St Ste 100, Carmel, IN 46032-4688 | 2013-04-30 |
| 1174892962 | Nicole Mcclain | Behavioral Analyst | 172 W Carmel Dr, Carmel, IN 46032-2526 | 2011-12-22 |
| 1306444682 | Songbird Health In LLC | Behavioral Analyst | 550 Congressional Blvd Ste 115, Carmel, IN 46032-5644 | 2020-10-09 |
| 1649886003 | Lauren Gallo | Behavioral Analyst | 1081 3rd Ave Sw, Carmel, IN 46032-7595 | 2020-09-21 |
| 1316559602 | Jasmine E Smith | Behavioral Analyst | 148 W Greyhound Pass, Carmel, IN 46032-7003 | 2020-08-19 |
| Find all providers in CARMEL | ||||
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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.