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General NPI Number Information
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NPI Number | 1427866581
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Entity Type | Organization
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Legal Business Name | SPROUTSTERS INC.
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Dates
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Enumeration Date | 12/20/2024
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 643 MARMOT LN
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City | GRANTHAM
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State | NH
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Zip | 03753
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Country | US
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Telephone | 860-776-6263
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1454
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City | GRANTHAM
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State | NH
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Zip | 03753-1454
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Country | US
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Telephone | 347-578-1008
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Fax |
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Authorized Official
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Title or Position | CHIEF CLINICAL OFFICER
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Name | CYNTHIA BAEZA STORBERG
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Credential | MA, MS, BCBA
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Telephone | 860-776-6263
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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