Organization · Type 2 NPI

Az Sprout MC 1 LLC

Behavior Analyst · Phoenix, AZ

NPI number 1225657547 Active

Practice location

2550 W Union Hills Dr Ste 350
Phoenix, AZ 85027-5187

Fax (929) 384-7193

Specialties and licenses

Taxonomy	Code	License
Behavior Analyst Primary	103K00000X	None listed

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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NPI record

NPI: 1225657547
Entity type: Organization (Type 2)
Issued: Apr 16, 2020
Last updated: Jun 24, 2025
Status: Active

Other names

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Elemy · doing business as
Sprout Therapy · doing business as
Sprout Therapy · doing business as
Tilly · doing business as

Authorized official

Yury Yakubchyk
Owner
(480) 591-7312

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About NPI 1225657547

Az Sprout MC 1 LLC's National Provider Identifier is 1225657547, issued on Apr 16, 2020. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Phoenix, AZ. The record was last updated on Jun 24, 2025.