Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Awesome Blossom

Organization Behavior Analyst · NPI 1851108658

Awesome Blossom is a Behavior Analyst in Hollywood, Florida. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

3438 Freedom Dr
Hollywood, FL 33021-8451
Phone: (561) 543-0441
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1851108658
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alevtina Basantsov — Director · (561) 543-0441
NPI enumeratedDecember 16, 2024
Last updated in NPPESDecember 16, 2024
Certification dateDecember 15, 2024
Mailing address3438 Freedom Dr, Hollywood, FL 33021-8451

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