| Blossom Garden | |
|
3122 W Maywood Avenue Anaheim CA 92804 | |
| (714) 406-3220 | |
| (714) 460-1341 |
| Full Name | Blossom Garden |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3122 W Maywood Avenue, Anaheim, California |
| Authorized Official Name and Position | Aya Riched (OWNER) |
| Authorized Official Contact | 7148727876 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blossom Garden 1950 W Corporate Way Ste 31936 Anaheim CA 92801-5373 Ph: (714) 406-3220 | Blossom Garden 3122 W Maywood Avenue Anaheim CA 92804 Ph: (714) 406-3220 |
| NPI Number | 1558184945 |
|---|---|
| Provider Enumeration Date | 11/04/2024 |
| Last Update Date | 11/25/2024 |
| Certification Date | 11/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558184945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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