Blossom Therapy Services LLC
NPI 1356125041ActiveOrganization· Behavior Analyst· Charleston, WV
Behavior Analyst in Charleston, West Virginia, registered in NPPES in August 2023. The authorized official on file is Shawna Tyree, Owner/Bcba.
Overview
| NPI | 1356125041 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 23, 2023 |
| Last updated in NPPES | Aug 23, 2023 |
| Certified by provider | Aug 23, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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