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Organization
SPROUTS ABA FOR ADULTS LLC
Active
Organization
SPROUTS ABA FOR ADULTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY ROSE MCGOVERN M.ED., BCBA (CLINICAL DIRECTOR)
(386) 237-7144
Entity
Organization
Contact information
Practice address
778 KNOLLVIEW BLVD, ORMOND BEACH, FL 32174-4655
(386) 237-7144
Mailing address
778 KNOLLVIEW BLVD, ORMOND BEACH, FL 32174-4655
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/31/2025
Last updated
01/31/2025
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