Organization
SKILL SPROUT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY SHYMANSKY (OWNER / OPERATOR)
(800) 773-1682
Entity
Organization
Contact information
Practice address
128 WASHINGTON SQUARE, WASHINGTON, IL 61571
(800) 773-1682
(800) 773-1682
Mailing address
128 WASHINGTON SQUARE, WASHINGTON, IL 61571
(800) 773-1682
(800) 773-1682
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1084887
MD
Other
Enumeration date
12/15/2009
Last updated
07/24/2012
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