Organization
NEUROSPROUT ABA MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YITZCHAK SELEH (CEO)
(213) 333-4433
Entity
Organization
Contact information
Practice address
1301 YORK RD STE 800-1030, LUTHERVILLE, MD 21093-6035
(213) 332-8893
Mailing address
8 KIELT WAY BSMT, LAKEWOOD, NJ 08701-5097
(410) 357-1180
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/26/2025
Last updated
09/09/2025
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