Organization
BLOSSOM ABA THERAPY KS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD Y KAUFMAN (CEO)
(404) 891-1880
Entity
Organization
Contact information
Practice address
1109 S ROCK RD, WICHITA, KS 67207-3317
(857) 327-5283
Mailing address
229 ROUTE 70 STE 100, TOMS RIVER, NJ 08755-1026
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/28/2025
Last updated
11/28/2025
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