| Blossom Aba Therapy Ok Llc | |
|
2844 Nw 63rd St Oklahoma City OK 73116-4841 | |
| (732) 730-7505 | |
| Not Available |
| Full Name | Blossom Aba Therapy Ok Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2844 Nw 63rd St, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Chad Kaufman (CEO) |
| Authorized Official Contact | 9175387239 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blossom Aba Therapy Ok Llc 2844 Nw 63rd St Ste A Oklahoma City OK 73116-4840 Ph: () - | Blossom Aba Therapy Ok Llc 2844 Nw 63rd St Oklahoma City OK 73116-4841 Ph: (732) 730-7505 |
| NPI Number | 1700641206 |
|---|---|
| Provider Enumeration Date | 02/14/2024 |
| Last Update Date | 02/16/2024 |
| Certification Date | 02/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700641206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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