Healthcare Provider Details

I. General information

NPI: 1629989348
Provider Name (Legal Business Name): FLORIDA AUTISM CENTER SPRING HILL, A DIVISION OF BLUESPRIG
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4235 RACHEL BLVD
SPRING HILL FL
34607-2529
US

IV. Provider business mailing address

4235 RACHEL BLVD
SPRING HILL FL
34607-2529
US

V. Phone/Fax

Practice location:
  • Phone: 352-505-9428
  • Fax:
Mailing address:
  • Phone: 352-505-9428
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: KAITLYN FREE
Title or Position: REGISTERED BEHAVIORAL TECHNICIAN
Credential:
Phone: 727-861-9524