Blue Autism Services LLC

NPI #1497471478 in Fort Mill, South Carolina

Provider Information

NPI Number: 1497471478
Entity Type: Organization
Organization Name: Blue Autism Services LLC
Primary Specialty: Behavior Analyst
Enumeration Date: Oct 12, 2022
Last Updated: Oct 12, 2022

Practice Location

Address: 836 PECAN TREE LN
City: Fort Mill
State: South Carolina
ZIP Code: 29715-7010
Phone: (609) 439-1032

Authorized Official

Name: MR. VIVEK R SAMA
Title: OWNER FOUNDER
Phone: (609) 439-1032

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Hearing and Speech — Hearing and Speech	261QH0700X
Clinic/Center - Occupational Medicine — Occupational Medicine	261QX0100X
Behavior Analyst	103K00000X	Primary

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