Organization
BLOSSOM ABA SERVICES LLC
Active
Other names
BLOSSOM ABA SERVICES LLC
Organization subpart
No
Provider details
NPI number
Authorized official
PEDRO ANTONIO PEREZ (PRESIDENT)
(305) 510-2283
Entity
Organization
Contact information
Practice address
17670 NW 78TH AVE STE 212, HIALEAH, FL 33015-3670
(305) 501-1438
Mailing address
17670 NW 78TH AVE STE 212, HIALEAH, FL 33015-3670
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/18/2024
Last updated
04/18/2024
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