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General NPI Number Information
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NPI Number | 1518754365
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Entity Type | Organization
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Legal Business Name | SPROUT EDUCATIONAL ASSESSMENT & CONSULTING SERVICES
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Dates
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Enumeration Date | 04/24/2025
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 2609 WALNUT ST
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City | ELIZABETHTOWN
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State | NC
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Zip | 28337-9134
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Country | US
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Telephone | 910-620-5431
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1916
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City | ELIZABETHTOWN
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State | NC
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Zip | 28337-1916
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | JANE HOUSEAL JOHNSON
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Credential | M.S. CCC-SLP
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Telephone | 910-620-5431
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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