Organization
BLOSSOM AID COMMUNITY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA VELAZQUEZ SILVA CBHCMS (OWNER)
(786) 879-0355
Entity
Organization
Contact information
Practice address
7379 NW 173RD DR APT 103, HIALEAH, FL 33015-8429
(786) 879-0355
(786) 953-7451
Mailing address
7379 NW 173RD DR APT 103, HIALEAH, FL 33015-8429
(786) 879-0355
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109332700
—
FL
Enumeration date
07/28/2021
Last updated
03/11/2023
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