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BLOSSOM CENTER FOR CHILDREN LLC NPI 1881991990


NPI Information

NPI: 1881991990
Provider Name: BLOSSOM CENTER FOR CHILDREN LLC
Classification: Behavior Analyst - 103K00000X
Entity Type: Organization
Address:
14235 BLANCO RD
SAN ANTONIO, TX
ZIP 78216
Phone: (210) 415-9626
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BLOSSOM CENTER FOR CHILDREN LLC is a behavior analyst in San Antonio, TX. The provider is a behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. BLOSSOM CENTER FOR CHILDREN LLC NPI is 1881991990. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

14235 BLANCO RD
SAN ANTONIO, TX
ZIP 78216-718
Phone: (210) 415-9626

The provider's authorized official is Gia Koehne .
The authorized official title is Owner/executive Director and has the following contact phone number (210) 415-9626.

The enumeration date for this NPI number is 2/25/2011 and was last updated on 3/1/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologist1-09-6584TEXASNo
2235Z00000XSpeech-Language PathologistNo
3103K00000XBehavior AnalystYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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