Organization
BLOSSOM ABA THERAPY OK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD KAUFMAN (CEO)
(917) 538-7239
Entity
Organization
Contact information
Practice address
201 ROBERT S KERR AVE, OKLAHOMA CITY, OK 73102-4223
(857) 327-5283
Mailing address
201 ROBERT S KERR AVE, OKLAHOMA CITY, OK 73102-4223
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/14/2024
Last updated
05/19/2025
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