| Bluesprig Autism | |
|
535 Riverstone Pkwy Ste 101 Canton GA 30114-2566 | |
| (470) 863-3090 | |
| Not Available |
| Full Name | Bluesprig Autism |
|---|---|
| Speciality | Behavior Technician |
| Location | 535 Riverstone Pkwy Ste 101, Canton, Georgia |
| Authorized Official Name and Position | Catherine Aracely Sosa (RBT) |
| Authorized Official Contact | 7622045490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluesprig Autism 535 Riverstone Pkwy Ste 101 Canton GA 30114-2566 Ph: (470) 863-3090 | Bluesprig Autism 535 Riverstone Pkwy Ste 101 Canton GA 30114-2566 Ph: (470) 863-3090 |
| NPI Number | 1891669149 |
|---|---|
| Provider Enumeration Date | 09/30/2025 |
| Last Update Date | 10/08/2025 |
| Certification Date | 10/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891669149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
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