Blossom Behavior Consulting
LBN: Blossom Behavior Consulting
Blossom Behavior Consulting is an health care organization with primary practice located at 620 Clearview Dr , Charleston SC 29412-4544. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavioral Analyst is the primary health care specialty.
Blossom Behavior Consulting can be contacted via phone (305) 394-9379, or through Fricker, Gretchen Bentz via phone (305) 394-9379.
Contact Information
Primary practice address
620 Clearview Dr
Charleston SC 29412-4544
Phone: (305) 394-9379
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | ||
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1295259133 |
|---|---|
| LBN Legal business name | Blossom Behavior Consulting |
| DBA Doing business as | |
| Authorized official | Fricker, Gretchen Bentz BCBA |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 2nd, 2017 |
| Last updated | Aug 2nd, 2017 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295259133 | NPPES |
| Other | NONE | NONE | |
| MEDICAID | PENDING | NONE |
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