DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: BLUESPRIG PEDIATRICS

MEDICARE: BLUESPRIG PEDIATRICS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1669306338
Entity Type Code : Organization
Provider Name (Legal Business Name) : BLUESPRIG PEDIATRICS
Provider Business Mailing Address
First Line : 5704 EUPER LN
Second Line :
City : FORT SMITH
State : AR
Zip : 72903-3238
Country : US
Telephone Number : 479-242-4480
Fax Number :
Provider Business Practice Location Address
First Line : 5704 EUPER LN
Second Line :
City : FORT SMITH
State : AR
Zip : 72903-3238
Country : US
Telephone Number : 479-242-4480
Fax Number :
Authorized Official
Title or Position : BT
Name : JENNA LEIGH HASTY
Credential :
Telephone Number : 757-346-8152
Provider Enumeration Date : 06/09/2026
Last Update Date : 06/09/2026

Similar Medicare Providers

1932033420 — JENNA LEIGH HASTY
Practice Location Address:
5704 EUPER LN
FORT SMITH, AR
72903-3238
Practice Phone: 479-242-4480
Practice Fax:
1972991842 — ERIN MONTGOMERY MS, BCBA
Practice Location Address:
5704 EUPER LN
FORT SMITH, AR
72903-3238
Practice Phone: 470-242-4480
Practice Fax:
1366140030 — AMBER MADDEN
Practice Location Address:
5704 EUPER LN
FORT SMITH, AR
72903-3238
Practice Phone: 479-242-4480
Practice Fax:
1386480242 — LAUREN STRANG
Practice Location Address:
5704 EUPER LN
FORT SMITH, AR
72903-3238
Practice Phone: 479-358-7388
Practice Fax:
1033955851 — LILIANA ISABEL PELAYO
Practice Location Address:
5704 EUPER LN
FORT SMITH, AR
72903-3238
Practice Phone: 479-242-4480
Practice Fax:
1619772340 — MALOREY FRANCIS
Practice Location Address:
5704 EUPER LN STE 10
FORT SMITH, AR
72903-3238
Practice Phone: 479-242-4480
Practice Fax:

Directions to “BLUESPRIG PEDIATRICS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.