Blossom Behavioral Services Llc is a
Behavior Analyst based in Ave Maria, Florida. Blossom Behavioral Services Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
4263 Nevada St, Ave Maria, Florida. It can be reached at their office (for appointments etc.) via phone at
(954) 882-2142.
NPI number for Blossom Behavioral Services Llc is 1912572330 and their current mailing address is 4263 Nevada St, Ave Maria, Florida. Blossom Behavioral Services Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1912572330.
Healthcare Provider's Profile
| Full Name | Blossom Behavioral Services Llc |
|---|
| Type | Facility |
|---|
| Speciality | Behavior Analyst |
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| Location | 4263 Nevada St, Ave Maria, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1912572330
- Provider Enumeration Date: 05/26/2021
- Last Update Date: 05/26/2021
Medical Identifiers
Medical identifiers for Blossom Behavioral Services Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912572330 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 261QH0700X | Clinic/center - Hearing And Speech | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Blossom Behavioral Services Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Blossom Behavioral Services Llc
4263 Nevada St,
Ave Maria, FL 34142-5028
Ph: (954) 882-2142 | Blossom Behavioral Services Llc
4263 Nevada St,
Ave Maria, FL 34142-5028
Ph: (954) 882-2142 |
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