| Blue Autism Center | |
|
1233 W Brister Dr Murray UT 84123-7927 | |
| (925) 338-4764 | |
| Not Available |
| Full Name | Blue Autism Center |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1233 W Brister Dr, Murray, Utah |
| Authorized Official Name and Position | Mayra Uchoa Martins (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9253384764 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Autism Center 1233 W Brister Dr Murray UT 84123-7927 Ph: (925) 338-4764 | Blue Autism Center 1233 W Brister Dr Murray UT 84123-7927 Ph: (925) 338-4764 |
| NPI Number | 1003453275 |
|---|---|
| Provider Enumeration Date | 12/05/2019 |
| Last Update Date | 12/09/2019 |
| Certification Date | 12/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003453275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (NU) | Primary |
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