Active NPIOrganization

Blossom Aba Therapy Ut LLC

Behavior Analyst in Salt Lake City, Utah

NPI Number1003643511
Practice location
2795 E Cottonwood Pkwy, Salt Lake City, UT 84121-7032
Fax
—
Last updated
September 18, 2024

Blossom Aba Therapy Ut LLC is a healthcare organization based in Salt Lake City, UT. Blossom Aba Therapy Ut LLC practices in Salt Lake City, UT. The NPI Number for Blossom Aba Therapy Ut LLC is 1003643511. The current practice location address for Blossom Aba Therapy Ut LLC is 2795 E Cottonwood Pkwy, Salt Lake City, UT 84121-7032 and can be reached out via phone at 732-730-7505.

Provider Profile Details

NPI Number
1003643511
Provider Name
Blossom Aba Therapy Ut LLC
Provider Entity Type
Organization
Address
2795 E Cottonwood Pkwy, Salt Lake City, UT 84121-7032
Phone Number
732-730-7505
Primary Taxonomy
Behavior Analyst · 103K00000X
Organization Subpart
No
Authorized Official
Chad Kaufman · Ceo · 917-538-7239
Provider Enumeration Date
September 18, 2024
Last Update Date
September 18, 2024
Certification Date
September 12, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
2795 E Cottonwood Pkwy
Salt Lake City, UT 84121-7032
State
Utah
Zip
84121-7032
Phone Number
732-730-7505
Salt Lake City, UT 84121Get directions →

Provider Business Mailing Address Details

Address
229 Route 70
Toms River, NJ 08755
City
Toms River
State
NJ
Zip
08755

License Information

Taxonomy
Behavior Analyst · 103K00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Blossom Aba Therapy Ut LLC?

The NPI number of Blossom Aba Therapy Ut LLC is 1003643511. It was assigned on September 18, 2024 and is currently active in the NPPES registry.

What is the specialty of Blossom Aba Therapy Ut LLC?

Blossom Aba Therapy Ut LLC is registered under the primary taxonomy Behavior Analyst (code 103K00000X).

Where does Blossom Aba Therapy Ut LLC practice?

The practice location is 2795 E Cottonwood Pkwy, Salt Lake City, UT 84121-7032. The office can be reached at 732-730-7505 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003643511 directly on the NPPES registry website.

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