Organization
BORN TO BLOSSOM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALEXANDRIA WILBERT BCBA, LBA, LMLP (OWNER/CEO)
(417) 540-7259
Entity
Organization
Contact information
Practice address
1141 MILITARY AVE, BAXTER SPRINGS, KS 66713-1509
(620) 330-9036
(620) 206-2514
Mailing address
1141 MILITARY AVE, BAXTER SPRINGS, KS 66713-1509
(620) 330-9036
(620) 206-2514
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
103T00000X
Psychologist
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/24/2022
Last updated
02/12/2026
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