Organization Active NPI

Autism Violet LLC

  • Behavior Analyst
  • Worcester, MA
National Provider Identifier
1447058433
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
AUTISM VIOLET LLC
Practice address
8 Florence St Apt 2
Worcester, MA 01610-4091
Phone
(302) 306-4395
NPI assigned
Mar 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Borlie Kellemu
Title
Owner
Phone
(302) 306-4395

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

8 Florence St Apt 2
Worcester, MA 01610-4091

Mailing address

8 Florence St Apt 2
Worcester, MA 01610-4091

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1741132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741132800000",
    "number": "1447058433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 FLORENCE ST APT 2",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016104091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 FLORENCE ST APT 2",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016104091",
            "telephone_number": "302-306-4395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM VIOLET LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A",
        "authorized_official_last_name": "KELLEMU",
        "authorized_official_first_name": "BORLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-306-4395"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.