Organization
BLOSSOM THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAIGEL WEISS (CEO)
(848) 525-7013
Entity
Organization
Contact information
Practice address
4625 LINDELL BLVD STE 200, SAINT LOUIS, MO 63108-3725
(732) 534-2823
Mailing address
4625 LINDELL BLVD STE 200, SAINT LOUIS, MO 63108-3725
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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