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Organization
BLUE SPRIG AUTISM
Active
Organization
BLUE SPRIG AUTISM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSSA BENAVIDES (THERAPIST)
(916) 390-4805
Entity
Organization
Contact information
Practice address
9355 E STOCKTON BLVD STE 185, ELK GROVE, CA 95624-9476
(916) 270-1421
Mailing address
9355 E STOCKTON BLVD STE 185, ELK GROVE, CA 95624-9476
(916) 270-1421
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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