| Blue Sprigs Pediactrics | |
|
1750 Commerce Center Blvd Fairborn OH 45324-6333 | |
| (937) 878-8444 | |
| Not Available |
| Full Name | Blue Sprigs Pediactrics |
|---|---|
| Speciality | Behavior Technician |
| Location | 1750 Commerce Center Blvd, Fairborn, Ohio |
| Authorized Official Name and Position | Markalise Mitchell (SENIOR CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 2818263382 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Sprigs Pediactrics 1750 Commerce Center Blvd Fairborn OH 45324-6333 Ph: (937) 878-8444 | Blue Sprigs Pediactrics 1750 Commerce Center Blvd Fairborn OH 45324-6333 Ph: (937) 878-8444 |
| NPI Number | 1427987882 |
|---|---|
| Provider Enumeration Date | 05/13/2026 |
| Last Update Date | 05/13/2026 |
| Certification Date | 05/13/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427987882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
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