Organization
NV MC SPROUT 1 LLC
Active
Other names
Elemy, Tilly, Sprout Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
TIM EBY (CEO)
(833) 458-0386
Entity
Organization
Contact information
Practice address
5470 KIETZKE LN STE 300, RENO, NV 89511-2099
(725) 227-8001
Mailing address
5470 KIETZKE LN STE 300, RENO, NV 89511-2099
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/08/2020
Last updated
06/24/2025
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