| Blossom Behavioral Health, Llc | |
|
2935 Nimes Ln Sacramento CA 95834-2099 | |
| (925) 813-9463 | |
| Not Available |
| Full Name | Blossom Behavioral Health, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2935 Nimes Ln, Sacramento, California |
| Authorized Official Name and Position | Courtney Baker (OWNER OPERATOR) |
| Authorized Official Contact | 9258139463 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blossom Behavioral Health, Llc 2935 Nimes Ln Sacramento CA 95834-2099 Ph: (925) 813-9463 | Blossom Behavioral Health, Llc 2935 Nimes Ln Sacramento CA 95834-2099 Ph: (925) 813-9463 |
| NPI Number | 1972238236 |
|---|---|
| Provider Enumeration Date | 07/20/2022 |
| Last Update Date | 07/20/2022 |
| Certification Date | 07/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972238236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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