NPI 1003643511

Blossom Aba Therapy Ut LLC

Organisation Behavior Analyst Salt Lake City, UT

Practice location

Address: 2795 E Cottonwood Pkwy, Salt Lake City, UT 84121-7032
Phone: (732) 730-7505
Mailing address: 229 Route 70, Toms River, NJ 08755

Authorised official

Name: Chad Kaufman
Title: Ceo
Phone: (917) 538-7239

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X

Other Behavior Analyst providers in Utah →

Registry record

NPI: 1003643511
Entity type: Organization
NPI issued: 18 Sep 2024
Record last updated: 18 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.