Blue Sprigs Pediactrics

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Legal business name

BLUE SPRIGS PEDIACTRICS

Practice address

1750 Commerce Center Blvd
Fairborn, OH 45324-6333

Phone

(937) 878-8444

NPI assigned

May 13, 2026

Organization subpart

No

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

Authorized official

Name

Markalise Mitchell

Title

Senior Credentialing Specialist

Phone

(281) 826-3382

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1778630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778630400000",
    "number": "1427987882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 COMMERCE CENTER BLVD",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453246333",
            "telephone_number": "937-878-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 COMMERCE CENTER BLVD",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453246333",
            "telephone_number": "937-878-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SPRIGS PEDIACTRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-13",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "MARKALISE",
        "authorized_official_title_or_position": "SENIOR CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "281-826-3382"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailey Bidwell
• Eugenia Dionne Black
• Hillary Blagg
• Laverna Blas
• Kristen Lynn Bloomer
• Mark Alan Blumenschein, DDS
• Stephanie Marie Blust, QMHP
• Deletha Body
• Madison Danielle Bonbright
• Kenaiyah Bond

• Behavior Technician in Fairborn, OH
• Providers in Fairborn, OH by specialty
• Behavior Technician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; 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.