| Autism Violet Llc | |
|
8 Florence St Apt 2 Worcester MA 01610-4091 | |
| (302) 306-4395 | |
| Not Available |
| Full Name | Autism Violet Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 8 Florence St Apt 2, Worcester, Massachusetts |
| Authorized Official Name and Position | Borlie Kellemu (OWNER) |
| Authorized Official Contact | 3023064395 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autism Violet Llc 8 Florence St Apt 2 Worcester MA 01610-4091 Ph: () - | Autism Violet Llc 8 Florence St Apt 2 Worcester MA 01610-4091 Ph: (302) 306-4395 |
| NPI Number | 1447058433 |
|---|---|
| Provider Enumeration Date | 03/05/2025 |
| Last Update Date | 03/05/2025 |
| Certification Date | 03/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447058433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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