NPI 1588283709
Nj Sprout Mc 1 LLC
Practice location
- Address
- 101 Eisenhower Pkwy STE 300, Roseland, NJ 07068-1054
- Phone
- (833) 991-2368
- Fax
- (929) 384-7193
- Mailing address
- 19 W 24th St Fl 4, New York, NY 10010-3239
Authorised official
- Name
- Yury Yakubchyk
- Title
- Owner
- Phone
- (973) 755-9203
Registered specialties
Behavior Analyst
Primary
Registry record
- NPI
- 1588283709
- Entity type
- Organization
- NPI issued
- 9 Apr 2020
- Record last updated
- 28 Jul 2025
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.