| Blue Autism Services Llc | |
|
836 Pecan Tree Ln Fort Mill SC 29715-7010 | |
| (609) 439-1032 | |
| Not Available |
| Full Name | Blue Autism Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 836 Pecan Tree Ln, Fort Mill, South Carolina |
| Authorized Official Name and Position | Vivek R Sama (OWNER FOUNDER) |
| Authorized Official Contact | 6094391032 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Autism Services Llc 836 Pecan Tree Ln Fort Mill SC 29715-7010 Ph: (609) 439-1032 | Blue Autism Services Llc 836 Pecan Tree Ln Fort Mill SC 29715-7010 Ph: (609) 439-1032 |
| NPI Number | 1497471478 |
|---|---|
| Provider Enumeration Date | 10/12/2022 |
| Last Update Date | 10/12/2022 |
| Certification Date | 10/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497471478 | NPI | - | NPPES |
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