| Blossom Therapy Services Llc | |
|
901 H St Ne Apt 740 Washington DC 20002-7057 | |
| (304) 546-2463 | |
| Not Available |
| Full Name | Blossom Therapy Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 901 H St Ne Apt 740, Washington, District Of Columbia |
| Authorized Official Name and Position | Shawna Leigh Tyree (PRESIDENT) |
| Authorized Official Contact | 2026817246 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blossom Therapy Services Llc 901 H St Ne Apt 740 Washington DC 20002-7057 Ph: (202) 681-7246 | Blossom Therapy Services Llc 901 H St Ne Apt 740 Washington DC 20002-7057 Ph: (304) 546-2463 |
| NPI Number | 1275116766 |
|---|---|
| Provider Enumeration Date | 05/03/2021 |
| Last Update Date | 05/03/2021 |
| Certification Date | 05/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275116766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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