NPI 1497471478 · live from the CMS NPI Registry
Blue Autism Services LLC
Behavior Analyst in Fort Mill, SC. National Provider Identifier 1497471478, active.
NPI record
| NPI | 1497471478 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 836 Pecan Tree Ln, Fort Mill, SC 29715 |
| Practice phone | 609-439-1032 |
| Enumerated | October 12, 2022 |
| Last updated | October 12, 2022 |
| Authorized official | Vivek Sama, Owner Founder |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center, Hearing and Speech | 261QH0700X | — |
| Clinic/Center, Occupational Medicine | 261QX0100X | — |
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.