| Blossoming Skies Learning Consultants, Llc. | |
|
46 N 10th St Kenilworth NJ 07033-1547 | |
| (908) 247-7858 | |
| Not Available |
| Full Name | Blossoming Skies Learning Consultants, Llc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 46 N 10th St, Kenilworth, New Jersey |
| Authorized Official Name and Position | Lydia Grace Sullivan (CLINICAL DIRECTOR/ BEHAVIOR ANALYST) |
| Authorized Official Contact | 8458930066 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blossoming Skies Learning Consultants, Llc. 46 N 10th St Kenilworth NJ 07033-1547 Ph: (908) 247-7858 | Blossoming Skies Learning Consultants, Llc. 46 N 10th St Kenilworth NJ 07033-1547 Ph: (908) 247-7858 |
| NPI Number | 1023790334 |
|---|---|
| Provider Enumeration Date | 08/04/2023 |
| Last Update Date | 08/04/2023 |
| Certification Date | 08/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023790334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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