Organization
SPROUT BEHAVIOR CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE ANN MERCIER COOKSEY BCBA (BCBA/OWNER)
(941) 737-8539
Entity
Organization
Contact information
Practice address
10181 6 MILE CYPRESS PKWY, FORT MYERS, FL 33966-6401
(941) 737-8539
Mailing address
PO BOX 61744, FORT MYERS, FL 33906-1744
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/29/2016
Last updated
01/29/2016
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