Organization
SPROUT BEHAVIORAL HEALTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYDNEY BALL HOLMES MA, LPA, LBA, BCBA (CLINICAL DIRECTOR)
(919) 524-1175
Entity
Organization
Contact information
Practice address
9 WESTHAMPTON CT, STAFFORD, VA 22554-3787
(919) 524-1175
Mailing address
9 WESTHAMPTON CT, STAFFORD, VA 22554-3787
(919) 524-1175
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/31/2022
Last updated
03/31/2022
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