Healthcare Provider Details

I. General information

NPI: 1871425009
Provider Name (Legal Business Name): SPROUT ABA SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5851 COLUMBIA PIKE
FALLS CHURCH VA
22041-2033
US

IV. Provider business mailing address

5851 COLUMBIA PIKE
FALLS CHURCH VA
22041-2033
US

V. Phone/Fax

Practice location:
  • Phone: 571-999-5474
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: YASMIN ABDULKADIR
Title or Position: DIRECTOR
Credential: PHARMD
Phone: 571-999-5474