Nj Sprout Mc 1 LLC
Behavior Analyst in Roseland, New Jersey
1588283709- Practice location
- 101 Eisenhower Pkwy Ste 300, Roseland, NJ 07068-1054
- Phone
- 833-991-2368
- Fax
- 929-384-7193
- Last updated
- July 28, 2025
Nj Sprout Mc 1 LLC is a healthcare organization based in Roseland, NJ. Nj Sprout Mc 1 LLC practices in Roseland, NJ. The NPI Number for Nj Sprout Mc 1 LLC is 1588283709. The current practice location address for Nj Sprout Mc 1 LLC is 101 Eisenhower Pkwy Ste 300, Roseland, NJ 07068-1054 and can be reached out via phone at 833-991-2368 and via fax at 929-384-7193.
Provider Profile Details
- NPI Number
- 1588283709
- Provider Name
- Nj Sprout Mc 1 LLC
- Provider Entity Type
- Organization
- Address
- 101 Eisenhower Pkwy Ste 300, Roseland, NJ 07068-1054
- Phone Number
- 833-991-2368
- Fax Number
- 929-384-7193
- Primary Taxonomy
- Behavior Analyst · 103K00000X
- Organization Subpart
- No
- Authorized Official
- Yury Yakubchyk · Owner · 973-755-9203
- Other Names
- Elemy (Doing Business As)
Sprout Therapy (Doing Business As)
Tilly (Doing Business As) - Provider Enumeration Date
- April 9, 2020
- Last Update Date
- July 28, 2025
- Certification Date
- July 24, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 101 Eisenhower Pkwy Ste 300
Roseland, NJ 07068-1054 - City
- Roseland
- State
- New Jersey
- Zip
- 07068-1054
- Phone Number
- 833-991-2368
- Fax Number
- 929-384-7193
Provider Business Mailing Address Details
- Address
- 19 W 24TH St Fl 4
New York, NY 10010-3239 - City
- New York
- State
- NY
- Zip
- 10010-3239
- Phone Number
- 833-458-0386
- Fax Number
- 855-461-3542
License Information
- Taxonomy
- Behavior Analyst · 103K00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Nj Sprout Mc 1 LLC?
The NPI number of Nj Sprout Mc 1 LLC is 1588283709. It was assigned on April 9, 2020 and is currently active in the NPPES registry.
What is the specialty of Nj Sprout Mc 1 LLC?
Nj Sprout Mc 1 LLC is registered under the primary taxonomy Behavior Analyst (code 103K00000X).
Where does Nj Sprout Mc 1 LLC practice?
The practice location is 101 Eisenhower Pkwy Ste 300, Roseland, NJ 07068-1054. The office can be reached at 833-991-2368 (phone) or 929-384-7193 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1588283709 directly on the NPPES registry website.