Active NPI
Sprout ABA Services
- Behavior Analyst
- Worcester, MA
National Provider Identifier
1063217925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- SPROUT ABA SERVICES
- Doing business as
- Sprout ABA Services
- Practice address
- 370 Main St FL 11
Worcester, MA 01608-1723 - Phone
- (508) 659-9011
- Fax
- (508) 659-8774
- NPI assigned
- Feb 14, 2025
- Organization subpart
- Yes
- Parent organization
- EMPOWERISE VENTURE GROUP LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Aida Done Tejeda
- Title
- Cfo
- Phone
- (774) 232-6991
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
370 Main St FL 11
Worcester, MA 01608-1723
Mailing address
370 Main St FL 11
Worcester, MA 01608-1723
Phone (508) 659-9011
Other names 1
- Sprout ABA Services
National Provider Directory
National Provider Directory- Part of
- Sprout ABA Services
Locations
33 Oak Ave
Ste 2
Worcester, MA 01605
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Analyst
- Shrewsbury, MA
- NPI 1952905739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739491200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778544000000",
"number": "1063217925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "370 MAIN ST FL 11",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016081723",
"telephone_number": "508-659-9011",
"fax_number": "508-659-8774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "370 MAIN ST FL 11",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016081723",
"telephone_number": "508-659-9011",
"fax_number": "508-659-8774"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPROUT ABA SERVICES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "EMPOWERISE VENTURE GROUP LLC",
"enumeration_date": "2025-02-14",
"last_updated": "2026-05-12",
"certification_date": "2026-05-12",
"status": "A",
"authorized_official_last_name": "DONE TEJEDA",
"authorized_official_first_name": "AIDA",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "774-232-6991"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sprout ABA Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.