NPI 1194468025 · live from the CMS NPI Registry
Blossom Behavioral Solutions, LLC
Behavior Analyst in Fort Mill, SC. National Provider Identifier 1194468025, active.
NPI record
| NPI | 1194468025 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 150 Bw Thomas Dr Ste 124, Fort Mill, SC 29708 |
| Practice phone | 704-586-9581 |
| Mailing address | 150 Thomas Dr Ste 124, Fort Mill, SC 29708 |
| Enumerated | April 19, 2022 |
| Last updated | October 18, 2023 |
| Authorized official | Lindsay Lundquist, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.