Healthcare Provider Details

I. General information

NPI: 1467314278
Provider Name (Legal Business Name): NEUROSPROUT ACADEMY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 12/01/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41593 WINCHESTER RD STE 200
TEMECULA CA
92590-4857
US

IV. Provider business mailing address

41593 WINCHESTER RD STE 200
TEMECULA CA
92590-4857
US

V. Phone/Fax

Practice location:
  • Phone: 626-808-6870
  • Fax:
Mailing address:
  • Phone: 626-808-6870
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: SHERYL HOANG-ALI
Title or Position: FOUNDER/CFO
Credential: BCBA
Phone: 626-808-6870