Blossom Behavioral Services Llc | |
4263 Nevada St Ave Maria FL 34142-5028 | |
(954) 882-2142 | |
Not Available |
Full Name | Blossom Behavioral Services Llc |
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Speciality | Behavior Analyst |
Location | 4263 Nevada St, Ave Maria, Florida |
Authorized Official Name and Position | Telma Suares (OWNER) |
Authorized Official Contact | 9548822142 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Blossom Behavioral Services Llc 4263 Nevada St Ave Maria FL 34142-5028 Ph: (954) 882-2142 | Blossom Behavioral Services Llc 4263 Nevada St Ave Maria FL 34142-5028 Ph: (954) 882-2142 |
NPI Number | 1912572330 |
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Provider Enumeration Date | 05/26/2021 |
Last Update Date | 05/26/2021 |
Certification Date | 05/26/2021 |
Identifier | Type | State | Issuer |
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1912572330 | NPI | - | NPPES |
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