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Organization

BLOSSOM THERAPY SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHAWNA LEIGH TYREE BCBA (PRESIDENT)
(202) 681-7246
Entity
Organization

Contact information

Practice address
901 H ST NE APT 740, WASHINGTON, DC 20002-7057
(304) 546-2463
Mailing address
901 H ST NE APT 740, WASHINGTON, DC 20002-7057
(202) 681-7246

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
05/03/2021
Last updated
05/03/2021
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Product
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  • Eligibility checks
  • EDI platform