Organization
BLOSSOM ABA THERAPY AZ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD KAUFMAN (CEO)
(917) 538-7239
Entity
Organization
Contact information
Practice address
19235 N CAVE CREEK RD, PHOENIX, AZ 85024-3012
(732) 730-7505
Mailing address
229 ROUTE 70, TOMS RIVER, NJ 08755
(732) 730-7505
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/09/2024
Last updated
03/05/2025
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