| Blossom Park, Llc | |
|
8535 E Hartford Dr Ste 206 Scottsdale AZ 85255-5444 | |
| (602) 535-8810 | |
| Not Available |
| Full Name | Blossom Park, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 8535 E Hartford Dr Ste 206, Scottsdale, Arizona |
| Authorized Official Name and Position | Nicolette Carter (DIRECTOR) |
| Authorized Official Contact | 6027696161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blossom Park, Llc 8535 E Hartford Dr Ste 206 Scottsdale AZ 85255-5444 Ph: (602) 535-8810 | Blossom Park, Llc 8535 E Hartford Dr Ste 206 Scottsdale AZ 85255-5444 Ph: (602) 535-8810 |
| NPI Number | 1245708379 |
|---|---|
| Provider Enumeration Date | 11/07/2018 |
| Last Update Date | 11/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245708379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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