Blossom Aid Community Services Llc | |
7379 Nw 173rd Dr Apt 103 Hialeah FL 33015-8429 | |
(786) 879-0355 | |
(786) 953-7451 |
Full Name | Blossom Aid Community Services Llc |
---|---|
Speciality | Behavior Analyst |
Location | 7379 Nw 173rd Dr Apt 103, Hialeah, Florida |
Authorized Official Name and Position | Sandra Velazquez Silva (OWNER) |
Authorized Official Contact | 7868790355 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Blossom Aid Community Services Llc 7379 Nw 173rd Dr Apt 103 Hialeah FL 33015-8429 Ph: (786) 879-0355 | Blossom Aid Community Services Llc 7379 Nw 173rd Dr Apt 103 Hialeah FL 33015-8429 Ph: (786) 879-0355 |
NPI Number | 1497428221 |
---|---|
Provider Enumeration Date | 07/28/2021 |
Last Update Date | 03/11/2023 |
Certification Date | 03/11/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497428221 | NPI | - | NPPES |
109332700 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
251B00000X | Case Management | (* (Not Available)) | Secondary |
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