Organization
BLOSSOM BRIDGE ABA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOON HWA SEOK PH.D. (BOARD CERTIFIED BEHAVIOR ANALYST)
(785) 505-0675
Entity
Organization
Contact information
Practice address
2015 AVENUE B APT B3, PLATTSMOUTH, NE 68048-1541
(785) 505-0675
Mailing address
2015 AVENUE B APT B3, PLATTSMOUTH, NE 68048-1541
(785) 505-0675
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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