Organization Active NPI

Sprout Pediatric Behavioral Services LLC

  • Behavior Analyst
  • Winchester, CA
National Provider Identifier
1427970920
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SPROUT PEDIATRIC BEHAVIORAL SERVICES LLC
Practice address
28884 Camino Santiago
Winchester, CA 92596-5508
Phone
(925) 886-4469
Fax
(877) 313-3694
NPI assigned
Jul 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Authorized official

Name
Maria Trixy Ignacio, BCBA
Title
Owner/Bcba
Phone
(206) 851-2106

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

28884 Camino Santiago
Winchester, CA 92596-5508

Mailing address

28884 Camino Santiago
Winchester, CA 92596-5508
Phone (925) 886-4469

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1785110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785110400000",
    "number": "1427970920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28884 CAMINO SANTIAGO",
            "city": "WINCHESTER",
            "state": "CA",
            "postal_code": "925965508",
            "telephone_number": "925-886-4469",
            "fax_number": "877-313-3694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28884 CAMINO SANTIAGO",
            "city": "WINCHESTER",
            "state": "CA",
            "postal_code": "925965508",
            "telephone_number": "925-886-4469",
            "fax_number": "877-313-3694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPROUT PEDIATRIC BEHAVIORAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-27",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A",
        "authorized_official_last_name": "IGNACIO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "TRIXY",
        "authorized_official_title_or_position": "OWNER/BCBA",
        "authorized_official_telephone_number": "206-851-2106",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.

Verify at the official NPI Registry.