Organization
BLOSSOM ABA THERAPY NM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD KAUFMAN (CEO)
(857) 327-5283
Entity
Organization
Contact information
Practice address
500 MARQUETTE AVE NW STE 1200, ALBUQUERQUE, NM 87102-5312
(857) 327-5283
Mailing address
500 MARQUETTE AVE NW STE 1200, ALBUQUERQUE, NM 87102-5312
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/18/2025
Last updated
02/24/2026
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