Organization
BLOSSOMS BEHAVIORA CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENDA MARTI (CREDENTIALING SPECIALIST)
(863) 225-2493
Entity
Organization
Contact information
Practice address
17755 HOMESTEAD AVE STE A, MIAMI, FL 33157-5341
(786) 338-1500
Mailing address
17755 HOMESTEAD AVE STE A, MIAMI, FL 33157-5341
(786) 338-1500
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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