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

Blossom Therapy Services LLC

Organization Behavior Analyst · NPI 1356125041

Blossom Therapy Services LLC is a Behavior Analyst in Charleston, West Virginia. Registered with an NPI since 2023.

In the registry since
2023
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

38 Carriage Rd
Charleston, WV 25314-2159
Phone: (202) 681-7246
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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 number1356125041
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shawna Tyree — Owner/Bcba · (304) 546-2463
NPI enumeratedAugust 23, 2023
Last updated in NPPESAugust 23, 2023
Certification dateAugust 23, 2023
Mailing address38 Carriage Rd, Charleston, WV 25314-2159

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