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Organization

BLOSSOM APPLIED BEHAVIOR ANALYSIS THERAPY P.L.L.C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIA PALMER (OWNER)
(716) 253-0153
Entity
Organization

Contact information

Practice address
115 MONTROSE AVE, BUFFALO, NY 14214-1248
(716) 382-3585
(716) 758-4090
Mailing address
115 MONTROSE AVE, BUFFALO, NY 14214-1248

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
07/31/2024
Last updated
02/24/2026
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