| Blueprintup | |
|
1604 Westgate Cir Brentwood TN 37027-1300 | |
| (615) 239-5242 | |
| (888) 880-5719 |
| Full Name | Blueprintup |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1604 Westgate Cir, Brentwood, Tennessee |
| Authorized Official Name and Position | Jill Collins (OWNER) |
| Authorized Official Contact | 6152395242 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blueprintup 1604 Westgate Cir Ste 240 Brentwood TN 37027-8578 Ph: (615) 239-5242 | Blueprintup 1604 Westgate Cir Brentwood TN 37027-1300 Ph: (615) 239-5242 |
| NPI Number | 1740796515 |
|---|---|
| Provider Enumeration Date | 12/15/2017 |
| Last Update Date | 12/21/2023 |
| Certification Date | 12/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740796515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 0000000270 (Tennessee) | Primary |
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