| NPI | 1639320203 |
|---|---|
| Doing Business As | BLUE SPRIG |
| Doing Business As | FUSION AUTISM CENTER |
| Entity Type | Organization |
| Authorized Contact | JASON OWEN CEO 470-816-6449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2022-11-10 |