Organization · Type 2 NPI

California Sprout MC 1 LLC

Behavior Analyst · South San Francisco, CA

NPI number 1902434178 Active

Practice location

611 Gateway Blvd Ste 120
South San Francisco, CA 94080-7066

Call (833) 458-0386 Map

Mailing address

19 W 24th St Fl 4
New York, NY 10010-3239

Other practice locations

3336 Steiner St, San Francisco, CA 94123-2707 · (786) 210-8200
333 City Blvd W, Orange, CA 92868 · (786) 210-8200

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…

38 other providers at this address

NPI record

NPI: 1902434178
Entity type: Organization (Type 2)
Issued: Apr 1, 2020
Last updated: Jul 28, 2025
Status: Active

Other names

<unavail>
Elemy · doing business as
Sprout Therapy · doing business as
Sprout Therapy · doing business as
Tilly · doing business as

Authorized official

Yury Yakubchyk
Owner
(786) 210-8200

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1902434178

California Sprout MC 1 LLC's National Provider Identifier is 1902434178, issued on Apr 1, 2020. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in South San Francisco, CA. The record was last updated on Jul 28, 2025.