Organization Active NPI

Sprout Licensed Behavior Analyst PLLC

  • Behavior Analyst
  • New York, NY
National Provider Identifier
1326776378
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SPROUT LICENSED BEHAVIOR ANALYST PLLC
Practice address
225 W 83Rd St Apt 6Z
New York, NY 10024-4955
Phone
(201) 873-1548
NPI assigned
Aug 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Authorized official

Name
Mrs. Adina Milgram, BCBA
Title
Owner
Phone
(201) 873-1548

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

225 W 83Rd St Apt 6Z
New York, NY 10024-4955

Mailing address

433 Forest Ave
Teaneck, NJ 07666-2773
Phone (201) 873-1548

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1326776378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 FOREST AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662773",
            "telephone_number": "201-873-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 W 83RD ST APT 6Z",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100244955",
            "telephone_number": "201-873-1548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPROUT LICENSED BEHAVIOR ANALYST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A",
        "authorized_official_last_name": "MILGRAM",
        "authorized_official_first_name": "ADINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-873-1548",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.