NPIMap

Organization Active NPI

Sprout Therapy Group SC, LLC

  • Behavior Analyst
  • Charleston, SC
National Provider Identifier
1932815024
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SPROUT THERAPY GROUP SC, LLC
Doing business as
Sprout Therapy Group
Practice address
1916 Sam Rittenberg Blvd Apt 116
Charleston, SC 29407-4874
Phone
(425) 900-7126
NPI assigned
Jan 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Authorized official

Name
Cameron Paige Andrews Millican, BCBANPI 1639562390
Title
Owner
Phone
(425) 900-7125

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

1916 Sam Rittenberg Blvd Apt 116
Charleston, SC 29407-4874

Mailing address

1916 Sam Rittenberg Blvd Apt 116
Charleston, SC 29407-4874
Phone (425) 900-7126

Other names 1

  • Sprout Therapy Group Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cam@sprouttherapygrp.com Direct Sprout Therapy Group, PLLC

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": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1932815024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 SAM RITTENBERG BLVD APT 116",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074874",
            "telephone_number": "425-900-7126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 SAM RITTENBERG BLVD APT 116",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074874",
            "telephone_number": "425-900-7126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPROUT THERAPY GROUP SC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "ANDREWS MILLICAN",
        "authorized_official_first_name": "CAMERON",
        "authorized_official_middle_name": "PAIGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-900-7125",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cam@sprouttherapygrp.com",
            "affiliation": "Y",
            "endpointDescription": "business email",
            "affiliationName": "Sprout Therapy Group, PLLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1916 Sam Rittenberg Blvd Apt 116",
            "city": "Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294074874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Sprout Therapy Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.