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Organization

BLOSSOM BEHAVIORAL SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHRYN FITTERER BCBA, LBA (OWNER)
(757) 524-2510
Entity
Organization

Contact information

Practice address
763 J CLYDE MORRIS BLVD STE 1C, NEWPORT NEWS, VA 23601-1533
(757) 524-2510
Mailing address
763 J CLYDE MORRIS BLVD STE 1C, NEWPORT NEWS, VA 23601-1533

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
VA

Other

Enumeration date
03/09/2018
Last updated
04/15/2021
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