Organization
CO MC SPROUT 1 LLC
Active
Other names
Sprout Therapy, Elemy, Tilly
Organization subpart
No
Provider details
NPI number
Authorized official
YURY YAKUBCHYK SR. (OWNER)
(720) 902-7868
Entity
Organization
Contact information
Practice address
7900 E UNION AVE STE 1100, DENVER, CO 80237-2746
(833) 991-2368
(929) 384-7193
Mailing address
7900 E UNION AVE STE 1100, DENVER, CO 80237-2746
(833) 991-2368
(929) 384-7193
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/21/2020
Last updated
06/24/2025
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