Healthcare Provider Details
I. General information
NPI: 1205494614
Provider Name (Legal Business Name): BLUEVIEW AUTISM INTERVENTION SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/31/2019
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
95 LINCOLN ST
FRAMINGHAM MA
01702-8205
US
IV. Provider business mailing address
14 TANNERS PATH
MARLBOROUGH MA
01752-6457
US
V. Phone/Fax
- Phone: 508-251-1976
- Fax: 508-305-2946
- Phone: 774-249-8361
- Fax: 508-305-2946
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
ANN
AMON-KARANJA
Title or Position: PRESIDENT / CEO
Credential: BCBA
Phone: 774-249-8361