| 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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