Organization
SPROUT THERAPY GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMERON ANDREWS MILLICAN BCABA (OWNER)
(843) 743-5636
Entity
Organization
Contact information
Practice address
1800 154TH AVE NE APT E240, BELLEVUE, WA 98007-4381
(843) 743-5636
Mailing address
1800 154TH AVE NE APT E240, BELLEVUE, WA 98007-4381
(843) 743-5636
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/30/2020
Last updated
03/30/2020
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