Sprout Autism Services, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SPROUT AUTISM SERVICES, LLC

Practice address

242 Martha Lee Dr
Hampton, VA 23666-3789

Phone

(757) 719-3472

NPI assigned

Aug 12, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Elizabeth Fortune, BCBA, LBA

Title

Owner

Phone

(757) 719-3472

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Harris, M.A., BCBA, LBA

  • Behavior Analyst
  • Newport News, VA
  • NPI 1518472448
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628726400000",
    "number": "1164197950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 MARTHA LEE DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236663789",
            "telephone_number": "757-719-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 MARTHA LEE DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236663789",
            "telephone_number": "757-719-3472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPROUT AUTISM SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A",
        "authorized_official_last_name": "FORTUNE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-719-3472",
        "authorized_official_credential": "BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Marie Speed, LPC, LMFT
• Cynthia Speight, M.S. CCC-SLP
• Bryan Spencer
• Bobbie Jo Sperry, M.D.
• Spine Care of Tidewater, P.C.
• Tammy Perry Spruill
• Bernd Robert Stab II, MD
• Stable Being Family Solutions LLC
• William Mark Stall, DDS
• Lynman Atwood Stamps Jr., MSW

• Behavior Analyst in Hampton, VA
• Providers in Hampton, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.