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Organization
BLOSSOM BEHAVIORAL SERVICES
Active
Organization
BLOSSOM BEHAVIORAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN FITTERER BCBA, LBA (OWNER)
(757) 524-2510
Entity
Organization
Contact information
Practice address
763 J CLYDE MORRIS BLVD STE 1C, NEWPORT NEWS, VA 23601-1533
(757) 524-2510
Mailing address
763 J CLYDE MORRIS BLVD STE 1C, NEWPORT NEWS, VA 23601-1533
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
VA
Other
Enumeration date
03/09/2018
Last updated
04/15/2021
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