Organization
BLUESPRIG PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EZECHIMERE ISRAEL CHIKEZIE (RBT)
(404) 553-3031
Entity
Organization
Contact information
Practice address
296 MERCHANTS SQ, DALLAS, GA 30132-5029
(407) 915-7720
Mailing address
296 MERCHANTS SQ, DALLAS, GA 30132-5029
(407) 915-7720
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/03/2026
Last updated
08/03/2026
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