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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 : 1679490825
Entity Type Code : Organization
Provider Name (Legal Business Name) : BLUESPRIG PEDIATRICS
Provider Business Mailing Address
First Line : 1613 PROSPECT PARK WAY STE 110
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-9707
Country : US
Telephone Number : 970-297-7704
Fax Number :
Provider Business Practice Location Address
First Line : 1613 PROSPECT PARK WAY STE 110
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-9707
Country : US
Telephone Number : 970-297-7704
Fax Number :
Authorized Official
Title or Position : BEHAVIOR TECHNICIAN
Name : MISS ANDREA GISELLE PEDROZA
Credential :
Telephone Number : 720-692-3605
Provider Enumeration Date : 06/30/2026
Last Update Date : 06/30/2026

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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.

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