| Blossom Aba Therapy Va | |
|
4250 Fairfax Dr Arlington VA 22203-1665 | |
| (732) 370-7505 | |
| Not Available |
| Full Name | Blossom Aba Therapy Va |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4250 Fairfax Dr, Arlington, Virginia |
| 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 Va 575 Route 70 Brick NJ 08723-4042 Ph: (917) 538-7239 | Blossom Aba Therapy Va 4250 Fairfax Dr Arlington VA 22203-1665 Ph: (732) 370-7505 |
| NPI Number | 1942077268 |
|---|---|
| Provider Enumeration Date | 12/06/2023 |
| Last Update Date | 12/14/2023 |
| Certification Date | 12/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942077268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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