| Blossom Applied Behavior Analysis Therapy P.l.l.c | |
|
115 Montrose Ave Buffalo NY 14214-1248 | |
| (585) 206-7945 | |
| (716) 758-4090 |
| Full Name | Blossom Applied Behavior Analysis Therapy P.l.l.c |
|---|---|
| Speciality | Behavior Analyst |
| Location | 115 Montrose Ave, Buffalo, New York |
| Authorized Official Name and Position | Tia Palmer (OWNER) |
| Authorized Official Contact | 7162530153 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blossom Applied Behavior Analysis Therapy P.l.l.c 115 Montrose Ave Buffalo NY 14214-1248 Ph: () - | Blossom Applied Behavior Analysis Therapy P.l.l.c 115 Montrose Ave Buffalo NY 14214-1248 Ph: (585) 206-7945 |
| NPI Number | 1477382174 |
|---|---|
| Provider Enumeration Date | 07/31/2024 |
| Last Update Date | 07/31/2024 |
| Certification Date | 07/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477382174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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