NPI 1295416402 · live from the CMS NPI Registry
Blossom Bridge Aba LLC
Behavior Analyst in Plattsmouth, NE. National Provider Identifier 1295416402, active.
NPI record
| NPI | 1295416402 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 2015 Avenue B Apt B3, Plattsmouth, NE 68048 |
| Practice phone | 785-505-0675 |
| Enumerated | July 31, 2023 |
| Last updated | July 31, 2023 |
| Authorized official | Soon Hwa Seok, Board Certified Behavior Analyst |
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.