Organization
BLUE SPRIG PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREL REYNOLDS (BT)
(814) 681-4370
Entity
Organization
Contact information
Practice address
1652 KELLER PKWY STE 200, KELLER, TX 76248-3877
(682) 291-9910
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/22/2026
Last updated
07/09/2026
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