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Organization
BLOSSOM ABA THERAPY VA
Active
Organization
BLOSSOM ABA THERAPY VA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD KAUFMAN (CEO)
(917) 538-7239
Entity
Organization
Contact information
Practice address
4250 FAIRFAX DR, ARLINGTON, VA 22203-1665
(732) 370-7505
Mailing address
575 ROUTE 70, BRICK, NJ 08723-4042
(917) 538-7239
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/06/2023
Last updated
12/14/2023
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