CALIFORNIA SPROUT MC 1 LLC (NPI# 1902434178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902434178 |
| Entity Type | Organization |
| Organization Name | CALIFORNIA SPROUT MC 1 LLC |
| Practice Address |
3336 Steiner St San Francisco CA 94123-2707 |
| Practice Telephone | 7862108200 |
| Mailing Telephone | 7862108200 |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2020-04-01 |
| 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 |
| Street Address |
3336 STEINER ST |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94123-2707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437611357 | Sarah Wenton Alexander | Occupational Therapist | 3007 Fillmore Street #3, San Francisco, CA 94123 | 2019-04-01 |
| 1306203138 | Cora Ann Keene | Marriage & Family Therapist | 1795 Union St, San Francisco, CA 94123 | 2016-01-25 |
| 1437556818 | Haley Alexander | Behavioral Analyst | 3750 Scott St Apt 205, San Francisco, CA 94123 | 2014-12-01 |
| 1992055040 | Robert J Buonfiglio | Psychologist | 1738 Union Street # 302, San Francisco, CA 94123 | 2012-09-17 |
| 1750656732 | Jane C Freston | Occupational Therapist | 1849 Chestnut Street, Apartment 4, San Francisco, CA 94123 | 2012-03-09 |
| 1700114212 | Marlene Ellen Kushner | Marriage & Family Therapist | 2918 Webster Street, San Francisco, CA 94123 | 2009-11-20 |
| 1487980447 | Acupuncture for Athletics | Acupuncturist | 1996 Union Street, 3rd Floor, San Francisco, CA 94123 | 2009-10-27 |
| 1104054436 | Sarah Elizabeth Bothe | Psychologist | 1738 Union Street, Suite 200, San Francisco, CA 94123 | 2009-06-25 |
| 1407099609 | Erika Cardamone | Speech-Language Pathologist | 2941 Gough St, 2, San Francisco, CA 94123 | 2009-04-17 |
| 1528216009 | Melissa Jeans Maglaque | Physical Therapist | 2065 Vallejo St Apt 3, San Francisco, CA 94123 | 2008-09-09 |
| Find all providers in zip 94123 | ||||
| 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 |
|---|---|---|---|---|
| 1750998019 | Songbird Health Ca LLC | Behavioral Analyst | 548 Market St, San Francisco, CA 94104-5401 | 2020-09-29 |
| 1285249995 | Abigail Godinez | Behavioral Analyst | 152 Chenery St, San Francisco, CA 94131-2709 | 2020-09-09 |
| 1417566811 | Kin Health | Behavioral Analyst | 548 Market St # 17739, San Francisco, CA 94104-5401 | 2020-07-31 |
| 1851936447 | Samantha Elizabeth Rios | Behavioral Analyst | 705 Naples St, San Francisco, CA 94112-3554 | 2019-11-07 |
| 1316507965 | Sarah Bruce | Behavioral Analyst | 709 Brazil Ave, San Francisco, CA 94112-2121 | 2019-06-17 |
| 1063978732 | Kyleigh Locke | Behavioral Analyst | 1900 Cabrillo St Apt 2, San Francisco, CA 94121-3849 | 2019-02-18 |
| 1225508955 | Erika Imelda Cortez | Behavioral Analyst | 1390 Mission St Apt 610, San Francisco, CA 94103-2671 | 2018-11-26 |
| 1326517624 | David Adam Sotcher | Behavioral Analyst | 802 Font Blvd, San Francisco, CA 94132-1723 | 2018-11-15 |
| 1497223481 | Elyse Rachael Davis | Behavioral Analyst | 1763 Chestnut St, San Francisco, CA 94123-2904 | 2018-11-07 |
| 1427532597 | Ari Aisen | Behavioral Analyst | 860 Fell St, San Francisco, CA 94117-2512 | 2018-09-24 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94123 |
Please comment or provide details below to improve the information on CALIFORNIA SPROUT MC 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.