Organization
BLUESPRIG PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATRINA BACKMAN (BEHAVIOR TECHNICIAN)
(406) 694-4887
Entity
Organization
Contact information
Practice address
2018 156TH AVE NE, BELLEVUE, WA 98007-3825
(971) 359-9812
(206) 299-7030
Mailing address
2018 156TH AVE NE, BELLEVUE, WA 98007-3825
(971) 359-9812
(206) 299-7030
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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