NPI 1699576116 · live from the CMS NPI Registry
Blossom Aba Therapy Mo LLC
Behavior Analyst in Lees Summit, MO. National Provider Identifier 1699576116, active.
NPI record
| NPI | 1699576116 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 200 Ne Missouri Rd Ste 200, Lees Summit, MO 64086 |
| Practice phone | 857-327-5283 |
| Mailing address | 229 Route 70 Ste 100, Toms River, NJ 08755 |
| Enumerated | March 21, 2025 |
| Last updated | March 25, 2026 |
| Authorized official | Chaim Kaufman, Ceo |
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.