Organization
BLUE SPRIG PEDIATRICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARKALISE MITCHELL (SENIOR CREDENTIALING SPECIALIST)
(281) 541-8674
Entity
Organization
Contact information
Practice address
7500 SAN FELIPE ST STE 990, HOUSTON, TX 77063-1708
(833) 288-4761
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
(833) 288-4761
(346) 261-0052
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
01/02/2018
Last updated
03/03/2026
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