NPI 1700641206 · live from the CMS NPI Registry
Blossom Aba Therapy Ok LLC
Behavior Analyst in Oklahoma City, OK. National Provider Identifier 1700641206, active.
NPI record
| NPI | 1700641206 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 201 Robert S Kerr Ave, Oklahoma City, OK 73102 |
| Practice phone | 857-327-5283 |
| Enumerated | February 14, 2024 |
| Last updated | May 19, 2025 |
| Authorized official | Chad 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.