Skill Sprout Diagnostic

Behavior Analyst · Washington, IL

Organization Active NPI

NPI number 1871885756

Practice location

102 Walnut Street
Washington, IL 61571
Phone
(800) 773-1682
Fax
(800) 773-1682

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NPI record

NPI
1871885756
Entity type
Organization (Type 2)
Enumeration date
May 10, 2011
Last updated
May 10, 2011
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X 1-09-6597 IL

Authorized official

Name
Amy Shymansky
Title
Director of Operations
Phone
(800) 773-1682

About Skill Sprout Diagnostic

Skill Sprout Diagnostic is a healthcare organization registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 102 Walnut Street, Washington, IL 61571. The NPI number 1871885756 was assigned on May 10, 2011 and the record was last updated on May 10, 2011.

Skill Sprout Diagnostic lists a license in the registry: #1-09-6597 (IL) for Behavior Analyst. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Amy Shymansky, Director of Operations.

Frequently asked questions

What is the NPI number of Skill Sprout Diagnostic?

The NPI number is 1871885756.

What is the phone number of Skill Sprout Diagnostic?

The phone number listed for the practice location is (800) 773-1682.

Where is Skill Sprout Diagnostic located?

102 Walnut Street, Washington, IL 61571.

What is the taxonomy code for Skill Sprout Diagnostic?

The primary taxonomy code is 103K00000X – Behavior Analyst.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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