| Blossoming Connections Llc | |
|
176a Main St Conway NH 03818-6164 | |
| (603) 689-6188 | |
| Not Available |
| Full Name | Blossoming Connections Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 176a Main St, Conway, New Hampshire |
| Authorized Official Name and Position | Courtney Clark (OWNER) |
| Authorized Official Contact | 6036896188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blossoming Connections Llc Po Box 22 Conway NH 03818-0022 Ph: (603) 689-6188 | Blossoming Connections Llc 176a Main St Conway NH 03818-6164 Ph: (603) 689-6188 |
| NPI Number | 1215769708 |
|---|---|
| Provider Enumeration Date | 08/14/2024 |
| Last Update Date | 08/14/2024 |
| Certification Date | 08/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215769708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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