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Organization
BLUE SPRING
Active
Organization
BLUE SPRING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE HERNANDEZ PRADO (RBT)
(813) 595-0134
Entity
Organization
Contact information
Practice address
7210 N MANHATTAN AVE APT 2612, TAMPA, FL 33614-3728
(813) 595-0134
Mailing address
7210 N MANHATTAN AVE APT 2612, TAMPA, FL 33614-3728
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/20/2026
Last updated
03/20/2026
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