Super Sprouts

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SUPER SPROUTS

Practice address

1039 E 23Rd St # 1010
Fremont, NE 68025-2448

Phone

(347) 522-6032

NPI assigned

Nov 4, 2025

Organization subpart

No

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

Authorized official

Name

Malka Birnbaum, MS ED BCBA LBANPI 1023373826

Title

Manager/Owner

Phone

(347) 522-6032

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Malka Birnbaum, MS ED

  • Behavior Analyst
  • Lakewood, NJ
  • NPI 1023373826
  NPD Authorized official

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

{
    "created_epoch": "1762214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1790654051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 HOLDEN SQ",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015828",
            "telephone_number": "347-522-6032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1039 E 23RD ST # 1010",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252448",
            "telephone_number": "347-522-6032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 Holden Sq",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "NJ",
            "postal_code": "087015828",
            "country_code": "US",
            "telephone_number": "347-522-6032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUPER SPROUTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-04",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A",
        "authorized_official_last_name": "BIRNBAUM",
        "authorized_official_first_name": "MALKA",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "347-522-6032",
        "authorized_official_credential": "MS ED BCBA LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yahima Indira Suarez
• Suey Senior Services
• Angela C Sukstorf, MD
• Dawn Marie Sulley, LPN
• Melissa Sullivan
• Surgery Center of Fremont LLC
• Surgery Center of Fremont, LLC
• Shelby Svatora
• Andrea J Svoboda, MS RD LMNT
• Mary Svoboda, CRNA

• Behavior Analyst in Fremont, NE
• Providers in Fremont, NE by specialty
• Behavior Analyst in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.