| Blossom Behavioral Services Llc | |
|
4263 Nevada St Ave Maria FL 34142-5028 | |
| (954) 882-2142 | |
| Not Available |
| Full Name | Blossom Behavioral Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4263 Nevada St, Ave Maria, Florida |
| Authorized Official Name and Position | Telma Suares (OWNER) |
| Authorized Official Contact | 9548822142 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blossom Behavioral Services Llc 4263 Nevada St Ave Maria FL 34142-5028 Ph: (954) 882-2142 | Blossom Behavioral Services Llc 4263 Nevada St Ave Maria FL 34142-5028 Ph: (954) 882-2142 |
| NPI Number | 1912572330 |
|---|---|
| Provider Enumeration Date | 05/26/2021 |
| Last Update Date | 05/26/2021 |
| Certification Date | 05/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912572330 | NPI | - | NPPES |
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