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

Organization Behavior Analyst · NPI 1104417013

Blossom ABA Therapy LLC is a Behavior Analyst in Atlanta, Georgia. Works from 3 locations. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3372 Peachtree Rd NE Ste 115
Atlanta, GA 30326-1881
Phone: (857) 327-5283
Fax: (857) 340-6300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 101 Arch St Fl 8, Boston, MA 02110-7500 — (917) 538-7239
  • 6000 Poplar Ave, Memphis, TN 38119-3981 — (732) 730-7505

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1104417013
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chad Kaufman — Owner · (917) 538-7239
NPI enumeratedFebruary 2, 2021
Last updated in NPPESJanuary 5, 2025
Certification dateJanuary 5, 2025
Mailing address575 Route 70, Brick, NJ 08723-4042

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