Organization
SKILL SPROUT INTERNATIONAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY SHYMANSKY (DIRECTOR OF OPERATIONS)
(800) 773-1682
Entity
Organization
Contact information
Practice address
102 WALNUT STREET, WASHINGTON, IL 61571
(800) 773-1682
(800) 773-1682
Mailing address
102 WALNUT STREET, WASHINGTON, IL 61571
(800) 773-1682
(800) 773-1682
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-6597
IL
Other
Enumeration date
05/09/2011
Last updated
05/09/2011
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