Blossom Aba Therapy Ut LLC
NPI #1003643511 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1003643511
- Entity Type
- Organization
- Organization Name
- Blossom Aba Therapy Ut LLC
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- Sep 18, 2024
- Last Updated
- Sep 18, 2024
Practice Location
- Address
- 2795 E COTTONWOOD PKWY
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84121-7032
- Phone
- (732) 730-7505
Authorized Official
- Name
- CHAD KAUFMAN
- Title
- CEO
- Phone
- (917) 538-7239
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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