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

Blossom ABA Therapy UT LLC

Organization Behavior Analyst · NPI 1003643511

Blossom ABA Therapy UT LLC is a Behavior Analyst in Salt Lake City, Utah. Registered with an NPI since 2024.

In the registry since
2024
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

2795 E Cottonwood Pkwy
Salt Lake City, UT 84121-7032
Phone: (732) 730-7505
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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 number1003643511
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chad Kaufman — Ceo · (917) 538-7239
NPI enumeratedSeptember 18, 2024
Last updated in NPPESSeptember 18, 2024
Certification dateSeptember 12, 2024
Mailing address229 Route 70, Toms River, NJ 08755

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