CALIFORNIA SPROUT MC 1 LLC
NPI 1902434178
Behavior Analyst in South San Francisco, CA

Q: What is the provider's specialty?

The provider's specialty is Behavior Analyst with taxonomy code 103K00000X.

Active since April 01, 2020

611 GATEWAY BLVD STE 120, SOUTH SAN FRANCISCO, CA 94080(833) 458-0386 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 24, 2025, Apr 12, 2024, Nov 5, 2021 and 2 more (5 updates tracked since 2020).

Table of Contents

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Secondary Locations
Authorized Official
Other Providers Same Location
Frequently Asked Questions

Organization
Behavior Analyst

About CALIFORNIA SPROUT MC 1 LLC

This page provides the complete NPI Profile along with additional information for California Sprout Mc 1 Llc, a provider established in South San Francisco, California operating as a Behavior Analyst. The healthcare provider is registered in the NPI registry with number 1902434178 assigned on April 2020. The practitioner's primary taxonomy code is 103K00000X. The provider is registered as an organization and their NPI record was last updated one year ago. California Sprout Mc 1 Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Yury Yakubchyk Sr. (Owner)

NPI: 1902434178 Verify this NPI
Provider Name: CALIFORNIA SPROUT MC 1 LLC
Other Name Type: (6)
Entity Type: Organization
Location Address: 611 GATEWAY BLVD STE 120 SOUTH SAN FRANCISCO, CA 94080
Location Phone: (833) 458-0386
Mailing Address: 19 W 24TH ST FL 4 NEW YORK, NY 10010
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 04-01-2020
Last Update Date: 07-28-2025
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Location Map

Secondary Locations

3336 Steiner St
San Francisco, CA 94123
(786) 210-8200
333 City Blvd W
Orange, CA 92868
(786) 210-8200

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Behavior Analyst
Taxonomy Code: 103K00000X
Type: Behavioral Health & Social Service Providers
Taxonomy Description: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: YURY YAKUBCHYK SR.
Authorized Official Title: OWNER
Authorized Official Phone: (786) 210-8200