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Organization

BEHAVIOR BLOSSOMS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HYATT GHARIB (BOARD CERTIFIED BEHAVIOR ANALYST)
(407) 624-7277
Entity
Organization

Contact information

Practice address
17421 WHITE HAWK DR, EDMOND, OK 73012-7022
(407) 624-7277
Mailing address
17421 WHITE HAWK DR, EDMOND, OK 73012-7022
(407) 624-7277

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
05/30/2024
Last updated
03/12/2025
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