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Organization
FL MC SPROUT 1 LLC
Active
Organization
FL MC SPROUT 1 LLC
Active
Other names
Elemy, Sprout Therapy, Tilly
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY EBY (AUTHORIZED OFFICIAL)
(877) 472-2261
Entity
Organization
Contact information
Practice address
1951 NW 7TH AVE STE 600, MIAMI, FL 33136-1128
(561) 235-7613
Mailing address
19 W 24TH ST FL 4, NEW YORK, NY 10010-3239
(833) 458-0386
(855) 461-3542
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/31/2020
Last updated
07/28/2025
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