Healthcare Provider Details

I. General information

NPI: 1821920299
Provider Name (Legal Business Name): BLUE SPRIG
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4085 HANCOCK BRIDGE PKWY STE 101
NORTH FORT MYERS FL
33903-7220
US

IV. Provider business mailing address

17595 OAK CREEK RD
ALVA FL
33920-3535
US

V. Phone/Fax

Practice location:
  • Phone: 239-677-3767
  • Fax:
Mailing address:
  • Phone: 239-980-2398
  • Fax: 239-980-2398

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: RACHEL LEE BEST
Title or Position: RBT
Credential:
Phone: 239-980-2398