Organization Active NPI

Sprout Behavior Consultants, LLC

  • Community/Behavioral Health Agency
  • Fort Myers, FL
National Provider Identifier
1992163315
Registry record updated Jan 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SPROUT BEHAVIOR CONSULTANTS, LLC
Practice address
10181 6 Mile Cypress Pkwy
Fort Myers, FL 33966-6401
Phone
(941) 737-8539
NPI assigned
Jan 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2016

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

Authorized official

Name
Stephanie Ann Mercier Cooksey, BCBA
Title
Bcba/Owner
Phone
(941) 737-8539

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

10181 6 Mile Cypress Pkwy
Fort Myers, FL 33966-6401

Mailing address

PO Box 61744
Fort Myers, FL 33906-1744

National Provider Directory

National Provider Directory

Locations

10181 6 Mile Cypress Pkwy
Fort Myers, FL 33966
Phone (941) 737-8539

NPI Registry JSON

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

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454025600000",
    "number": "1992163315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61744",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339061744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10181 6 MILE CYPRESS PKWY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339666401",
            "telephone_number": "941-737-8539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPROUT BEHAVIOR CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-29",
        "last_updated": "2016-01-29",
        "status": "A",
        "authorized_official_last_name": "COOKSEY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "ANN MERCIER",
        "authorized_official_title_or_position": "BCBA/OWNER",
        "authorized_official_telephone_number": "941-737-8539",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; 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.