Blue Sprig

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Legal business name

BLUE SPRIG

Practice address

4170 N 108TH Ave
Phoenix, AZ 85037-5469

Phone

(480) 751-1957

NPI assigned

Jul 28, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kiarra White

Title

BT

Phone

(480) 751-1957

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1073286712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 SAN FELIPE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770631707",
            "telephone_number": "480-751-1957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4170 N 108TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850375469",
            "telephone_number": "480-751-1957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SPRIG",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "KIARRA",
        "authorized_official_title_or_position": "BT",
        "authorized_official_telephone_number": "480-751-1957"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Technician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Behavior Technician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.