Organization
BLOSSOM ABA THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD KAUFMAN LNHA (OWNER)
(917) 538-7239
Entity
Organization
Contact information
Practice address
3372 PEACHTREE RD NE STE 115, ATLANTA, GA 30326-1881
(857) 327-5283
(857) 340-6300
Mailing address
575 ROUTE 70, BRICK, NJ 08723-4042
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/02/2021
Last updated
01/05/2025
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