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Organization
BLOSSOMING BEHAVIOR, APPLIED BEHAVIOR ANALYSTS LLC
Active
Organization
BLOSSOMING BEHAVIOR, APPLIED BEHAVIOR ANALYSTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE G AUGUSTIN ED.D (OWNER)
(516) 469-1415
Entity
Organization
Contact information
Practice address
61 7TH ST, VALLEY STREAM, NY 11581-1275
(516) 469-1415
Mailing address
3604 OCEAN AVE APT C2, EAST ROCKAWAY, NY 11518-1565
(516) 469-1415
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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