Organization
BLOSSOM BEHAVIORAL SERVICES LLC
Active
Other names
Success on the Spectrum
Organization subpart
No
Provider details
NPI number
Authorized official
TELMA SUARES BCBA (OWNER)
(954) 882-2142
Entity
Organization
Contact information
Practice address
4263 NEVADA ST, AVE MARIA, FL 34142-5028
(954) 882-2142
Mailing address
4263 NEVADA ST, AVE MARIA, FL 34142-5028
(954) 882-2142
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
225X00000X
Occupational Therapist
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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