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BLUE AUTISM SERVICES LLC NPI 1497471478


NPI Information

NPI: 1497471478
Provider Name: BLUE AUTISM SERVICES LLC
Classification: Behavior Analyst - 103K00000X
Entity Type: Organization
Address:
836 PECAN TREE LN
FORT MILL, SC
ZIP 29715
Phone: (609) 439-1032
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BLUE AUTISM SERVICES LLC is a behavior analyst in Fort Mill, SC. The provider is a behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. BLUE AUTISM SERVICES LLC NPI is 1497471478. The provider is registered as an organization entity type.

The provider's business location address is:

836 PECAN TREE LN
FORT MILL, SC
ZIP 29715-010
Phone: (609) 439-1032

The provider's authorized official is Vivek R Sama .
The authorized official title is Owner Founder and has the following contact phone number (609) 439-1032.

The enumeration date for this NPI number is 10/12/2022 and was last updated on 10/12/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QH0700XClinic/CenterHearing and SpeechNo
2261QX0100XClinic/CenterOccupational MedicineNo
3103K00000XBehavior AnalystYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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