NPI 1104454669
Missouri Sprout Mc 1 LLC
Practice location
- Address
- 1828 Walnut St Fl 3, Kansas City, MO 64108-1835
- Phone
- (816) 307-1677
Authorised official
- Name
- Yury Yakubchyk
- Title
- Owner
- Phone
- (816) 307-1677
Registered specialties
Behavior Analyst
Primary
Registry record
- NPI
- 1104454669
- Entity type
- Organization
- NPI issued
- 31 Mar 2020
- Record last updated
- 5 Nov 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.