Organization
BLUE BLOSSOM CARE ABA THERAPY LLLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MANUEL ALEJANDRO PEREZ (CEO/OWNER)
(470) 561-0340
Entity
Organization
Contact information
Practice address
1431 SILVERGATE WAY, WINDER, GA 30680-6101
(470) 561-0340
Mailing address
1431 SILVERGATE WAY, WINDER, GA 30680-6101
(470) 561-0340
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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