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General NPI Number Information
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NPI Number | 1821920299
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Entity Type | Organization
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Legal Business Name | BLUE SPRIG
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Dates
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Enumeration Date | 06/01/2026
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Last Update Date | 06/01/2026
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Provider Practice Location Address
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Address Line | 4085 HANCOCK BRIDGE PKWY STE 101
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City | NORTH FORT MYERS
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State | FL
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Zip | 33903-7220
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Country | US
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Telephone | 239-677-3767
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Fax |
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Provider Business Mailing Address
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Address Line | 17595 OAK CREEK RD
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City | ALVA
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State | FL
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Zip | 33920-3535
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Country | US
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Telephone | 239-980-2398
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Fax | 239-980-2398
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Authorized Official
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Title or Position | RBT
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Name | RACHEL LEE BEST
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Credential |
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Telephone | 239-980-2398
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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