| Blossom Bridge Aba Llc | |
|
2015 Avenue B Apt B3 Plattsmouth NE 68048-1541 | |
| (785) 505-0675 | |
| Not Available |
| Full Name | Blossom Bridge Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2015 Avenue B Apt B3, Plattsmouth, Nebraska |
| Authorized Official Name and Position | Soon Hwa Seok (BOARD CERTIFIED BEHAVIOR ANALYST) |
| Authorized Official Contact | 7855050675 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blossom Bridge Aba Llc 2015 Avenue B Apt B3 Plattsmouth NE 68048-1541 Ph: (785) 505-0675 | Blossom Bridge Aba Llc 2015 Avenue B Apt B3 Plattsmouth NE 68048-1541 Ph: (785) 505-0675 |
| NPI Number | 1295416402 |
|---|---|
| Provider Enumeration Date | 07/31/2023 |
| Last Update Date | 07/31/2023 |
| Certification Date | 07/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295416402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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