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General NPI Number Information
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NPI Number | 1467314278
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Entity Type | Organization
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Legal Business Name | NEUROSPROUT ACADEMY INC
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Dates
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Enumeration Date | 12/01/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 41593 WINCHESTER RD STE 200
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City | TEMECULA
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State | CA
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Zip | 92590-4857
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Country | US
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Telephone | 626-808-6870
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Fax |
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Provider Business Mailing Address
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Address Line | 41593 WINCHESTER RD STE 200
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City | TEMECULA
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State | CA
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Zip | 92590-4857
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Country | US
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Telephone | 626-808-6870
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Fax |
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Authorized Official
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Title or Position | FOUNDER/CFO
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Name | SHERYL HOANG-ALI
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Credential | BCBA
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Telephone | 626-808-6870
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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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