Organization
SPROUT THERAPY GROUP SC, LLC
Active
Other names
Sprout Therapy Group
Organization subpart
No
Provider details
NPI number
Authorized official
CAMERON PAIGE ANDREWS MILLICAN BCBA (OWNER)
(425) 900-7125
Entity
Organization
Contact information
Practice address
1916 SAM RITTENBERG BLVD APT 116, CHARLESTON, SC 29407-4874
(425) 900-7126
Mailing address
1916 SAM RITTENBERG BLVD APT 116, CHARLESTON, SC 29407-4874
(425) 900-7126
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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