NPI 1295259133 · live from the CMS NPI Registry
Blossom Behavior Consulting
Behavior Analyst in Charleston, SC. National Provider Identifier 1295259133, active.
NPI record
| NPI | 1295259133 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 620 Clearview Dr, Charleston, SC 29412 |
| Practice phone | 305-394-9379 |
| Enumerated | August 2, 2017 |
| Last updated | August 2, 2017 |
| Authorized official | Gretchen Fricker, Behavior Analyst |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | — |
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.