Blue Sprig

NPI #1073286712 in Phoenix, Arizona

Provider Information

NPI Number: 1073286712
Entity Type: Organization
Organization Name: Blue Sprig
Primary Specialty: Behavior Technician
Enumeration Date: Jul 28, 2021
Last Updated: Jul 28, 2021

Practice Location

Address: 4170 N 108TH AVE
City: Phoenix
State: Arizona
ZIP Code: 85037-5469
Phone: (480) 751-1957

Authorized Official

Name: KIARRA WHITE
Title: BT
Phone: (480) 751-1957

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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