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Organization
SPROUT LICENSED BEHAVIOR ANALYST PLLC
Active
Organization
SPROUT LICENSED BEHAVIOR ANALYST PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ADINA MILGRAM BCBA (OWNER)
(201) 873-1548
Entity
Organization
Contact information
Practice address
225 W 83RD ST APT 6Z, NEW YORK, NY 10024-4955
(201) 873-1548
Mailing address
433 FOREST AVE, TEANECK, NJ 07666-2773
(201) 873-1548
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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