NPIMap

Organization Active NPI

Blue Sprig Autism

  • Behavior Technician
  • Elk Grove, CA
National Provider Identifier
1639040249
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Legal business name
BLUE SPRIG AUTISM
Practice address
9355 E Stockton Blvd Ste 185
Elk Grove, CA 95624-9476
Phone
(916) 270-1421
NPI assigned
Sep 16, 2025
Last updated
Sep 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Authorized official

Name
Alyssa Benavides
Title
Therapist
Phone
(916) 390-4805

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 106S00000X Primary

Addresses

Primary practice location

9355 E Stockton Blvd Ste 185
Elk Grove, CA 95624-9476

Mailing address

9355 E Stockton Blvd Ste 185
Elk Grove, CA 95624-9476
Phone (916) 270-1421

National Provider Directory

National Provider Directory

Locations

9355 E Stockton Blvd
Ste 185
Elk Grove, CA 95624
Phone (916) 270-1421

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1757980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1639040249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9355 E STOCKTON BLVD STE 185",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956249476",
            "telephone_number": "916-270-1421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9355 E STOCKTON BLVD STE 185",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956249476",
            "telephone_number": "916-270-1421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SPRIG AUTISM",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-16",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "BENAVIDES",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "916-390-4805"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.