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Organization
SPROUT BEHAVIORAL HEALTH, PLLC
Active
Organization
SPROUT BEHAVIORAL HEALTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYDNEY BALL HOLMES MA, LPA, LBA, BCBA (CLINICAL DIRECTOR)
(919) 524-1175
Entity
Organization
Contact information
Practice address
9 WESTHAMPTON CT, STAFFORD, VA 22554-3787
(919) 524-1175
Mailing address
9 WESTHAMPTON CT, STAFFORD, VA 22554-3787
(919) 524-1175
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/31/2022
Last updated
03/31/2022
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