Organization
BLUESPRIG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATACHA CHARBONNEAU (BT/RBT)
(405) 548-1029
Entity
Organization
Contact information
Practice address
600 LIBERTY LN, EDMOND, OK 73034-9432
(405) 548-1029
Mailing address
600 LIBERTY LN, EDMOND, OK 73034-9432
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/15/2025
Last updated
12/15/2025
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