Organization
NEUROSPROUT ABA MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISSAC COHEN (CREDENTIALING SPECIALIST)
(213) 000-1000
Entity
Organization
Contact information
Practice address
1777 REISTERSTOWN RD STE 290, BALTIMORE, MD 21208-1390
(213) 332-8893
Mailing address
1241 EDRIS DR, LOS ANGELES, CA 90035-1113
(213) 332-8893
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/06/2025
Last updated
02/16/2026
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