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Organization
SPROUT PEDIATRIC BEHAVIORAL SERVICES LLC
Active
Organization
SPROUT PEDIATRIC BEHAVIORAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA TRIXY IGNACIO BCBA (OWNER/BCBA)
(206) 851-2106
Entity
Organization
Contact information
Practice address
28884 CAMINO SANTIAGO, WINCHESTER, CA 92596-5508
(925) 886-4469
(877) 313-3694
Mailing address
28884 CAMINO SANTIAGO, WINCHESTER, CA 92596-5508
(925) 886-4469
(877) 313-3694
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/27/2026
Last updated
07/27/2026
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