Sprout Behavioral Health, PLLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SPROUT BEHAVIORAL HEALTH, PLLC

Practice address

9 Westhampton CT
Stafford, VA 22554-3787

Phone

(919) 524-1175

NPI assigned

Mar 31, 2022

Last updated

Mar 31, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sydney Ball Holmes, MA, LPA, LBA, BCBANPI 1679036065

Title

Clinical Director

Phone

(919) 524-1175

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, and the practitioner matching its NPPES authorized official.

• Sydney Ball Holmes

  • Psychologist
  • Pikeville, NC
  • NPI 1679036065

  Behavior Analyst

  NPD Authorized official

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648684800000",
    "number": "1467192997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 WESTHAMPTON CT",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225543787",
            "telephone_number": "919-524-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 WESTHAMPTON CT",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225543787",
            "telephone_number": "919-524-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPROUT BEHAVIORAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-31",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "SYDNEY",
        "authorized_official_middle_name": "BALL",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "919-524-1175",
        "authorized_official_credential": "MA, LPA, LBA, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaleb Spalding
• Mary Grace Sparks
• Spectrum Autism Services, LLC
• Joshua Taylor Speier
• Demetria S Spratley
• SSD - Stafford PLLC (Stafford Smile Design)
• Robert James Staaf
• Stafford County Board of Supervisors (Stafford County Fire & Rescue Department)
• Stafford County Public Schools
• Stafford County Public Schools

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.