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

Blossom ABA Therapy Nc

Organization Behavior Analyst · NPI 1477303006

Blossom ABA Therapy Nc is a Behavior Analyst in Charlotte, North Carolina. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

322 Lamar Ave
Charlotte, NC 28204-2436
Phone: (732) 730-7505
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X
Behavior Analyst Taxonomy 103K00000X

Record details

NPI number1477303006
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chad Kaufman — Ceo · (917) 538-7239
NPI enumeratedMarch 26, 2024
Last updated in NPPESFebruary 24, 2026
Certification dateFebruary 24, 2026
Mailing address1235 East Blvd Ste E1448, Charlotte, NC 28203-5870

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