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NPI Code Detail

MEDICARE: TWIG & SPROUT, LLC

MEDICARE: TWIG & SPROUT, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1013755602
Entity Type Code : Organization
Provider Name (Legal Business Name) : TWIG & SPROUT, LLC
Provider Business Mailing Address
First Line : 13010 MORRIS RD STE 600
Second Line :
City : ALPHARETTA
State : GA
Zip : 30004-5096
Country : US
Telephone Number : 770-544-7217
Fax Number :
Provider Business Practice Location Address
First Line : 13010 MORRIS RD STE 600
Second Line :
City : ALPHARETTA
State : GA
Zip : 30004-5096
Country : US
Telephone Number : 770-544-7217
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MS. SHONDA DAVIS
Credential :
Telephone Number : 770-544-7217
Provider Enumeration Date : 07/17/2024
Last Update Date : 09/02/2025

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Directions to “TWIG & SPROUT, LLC ” Practice Location

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