| Blossom Aba Therapy Llc | |
|
3372 Peachtree Rd Ne Ste 115 Atlanta GA 30326-1881 | |
| (857) 327-5283 | |
| (857) 340-6300 |
| Full Name | Blossom Aba Therapy Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3372 Peachtree Rd Ne Ste 115, Atlanta, Georgia |
| Authorized Official Name and Position | Chad Kaufman (OWNER) |
| Authorized Official Contact | 9175387239 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blossom Aba Therapy Llc 575 Route 70 Brick NJ 08723-4042 Ph: () - | Blossom Aba Therapy Llc 3372 Peachtree Rd Ne Ste 115 Atlanta GA 30326-1881 Ph: (857) 327-5283 |
| NPI Number | 1104417013 |
|---|---|
| Provider Enumeration Date | 02/02/2021 |
| Last Update Date | 06/27/2023 |
| Certification Date | 06/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104417013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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