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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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