Organization
BLOSSOM GARDEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYA RICHED BCBA (OWNER)
(714) 872-7876
Entity
Organization
Contact information
Practice address
3122 W MAYWOOD AVENUE, ANAHEIM, CA 92804
(714) 406-3220
(714) 460-1341
Mailing address
1950 W CORPORATE WAY STE 31936, ANAHEIM, CA 92801-5373
(714) 406-3220
(714) 460-1341
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/04/2024
Last updated
11/25/2024
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