| Born To Blossom Llc | |
|
2404 W 8th St Coffeyville KS 67337-2931 | |
| (620) 330-9036 | |
| (620) 206-2514 |
| Full Name | Born To Blossom Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2404 W 8th St, Coffeyville, Kansas |
| Authorized Official Name and Position | Alexandria Heidebrecht (OWNER/CEO) |
| Authorized Official Contact | 4175407259 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Born To Blossom Llc 2404 W 8th St Coffeyville KS 67337-2931 Ph: (620) 330-9036 | Born To Blossom Llc 2404 W 8th St Coffeyville KS 67337-2931 Ph: (620) 330-9036 |
| NPI Number | 1255066163 |
|---|---|
| Provider Enumeration Date | 07/24/2022 |
| Last Update Date | 11/01/2022 |
| Certification Date | 11/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255066163 | NPI | - | NPPES |
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