| Bluesprig | |
|
9374 Olive Blvd Ste 101 Olivette MO 63132-3253 | |
| (314) 932-2402 | |
| Not Available |
| Full Name | Bluesprig |
|---|---|
| Speciality | Behavior Technician |
| Location | 9374 Olive Blvd Ste 101, Olivette, Missouri |
| Authorized Official Name and Position | Tiera Powell (BEHAVIORAL TECHNICIAN) |
| Authorized Official Contact | 3148536133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluesprig 9374 Olive Blvd Ste 101 Olivette MO 63132-3253 Ph: (314) 932-2402 | Bluesprig 9374 Olive Blvd Ste 101 Olivette MO 63132-3253 Ph: (314) 932-2402 |
| NPI Number | 1457150716 |
|---|---|
| Provider Enumeration Date | 03/10/2025 |
| Last Update Date | 03/10/2025 |
| Certification Date | 03/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457150716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
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