Organization Active NPI

Sprouty LLC

  • Behavior Analyst
  • Virginia Beach, VA
National Provider Identifier
1649048042
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SPROUTY LLC
Doing business as
Sprouty Support Services
Practice address
3330 Pacific Ave Ste 500
Virginia Beach, VA 23451-2997
Phone
(757) 404-8675
NPI assigned
Dec 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Authorized official

Name
Stephanie ProutyNPI 1356900799
Title
Director
Phone
(757) 404-8675

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3330 Pacific Ave Ste 500
Virginia Beach, VA 23451-2997

Mailing address

3330 Pacific Ave Ste 500
Virginia Beach, VA 23451-2997
Phone (757) 404-8675

Other names 1

  • Sprouty Support Services Doing business as

National Provider Directory

National Provider Directory

Locations

3330 Pacific Ave
Ste 500
Virginia Beach, VA 23451
Phone (757) 404-8675

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": "1702512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1649048042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 PACIFIC AVE STE 500",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234512997",
            "telephone_number": "757-404-8675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 PACIFIC AVE STE 500",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234512997",
            "telephone_number": "757-404-8675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPROUTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-14",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A",
        "authorized_official_last_name": "PROUTY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "757-404-8675"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sprouty Support Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.