Healthcare Provider Details

I. General information

NPI: 1407781891
Provider Name (Legal Business Name): BLUEPRIG
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3326 ASPEN GROVE DR STE 604
FRANKLIN TN
37067-4858
US

IV. Provider business mailing address

803 HILLOCK TRCE
LEBANON TN
37087-0558
US

V. Phone/Fax

Practice location:
  • Phone: 615-719-2992
  • Fax:
Mailing address:
  • Phone: 615-719-2992
  • 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: AVA LAND
Title or Position: BEHAVIOR TECHNICIAN
Credential:
Phone: 615-719-2992