BLOSSOM CENTER FOR CHILDREN LLC
Behavior Analysts at Blanco Rd, San Antonio, TX

License number
Texas 1-09-6584
Category
Behavior Analysts
Type
Behavior Analyst
Owner
Name: DR. GIA KOEHNE PSYD, BCBA
Title: OWNER/EXECUTIVE DIRECTOR
Phone: (210) 415-9626
Address
Address
14235 Blanco Rd, San Antonio, TX 78216
National Provider ID: 1881991990
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about BLOSSOM CENTER FOR CHILDREN LLC at bizstanding.com

BLOSSOM CENTER FOR CHILDREN, LLC

San Antonio, TX

Industry:
Health Practitioner's Office, Nonclassifiable Establishments, Offices of Health Practitioners, Nsk
Doing business as:
Blossom Center for Children
Registration:
Feb 29, 2012
Phone:
(210) 415-9626 (Phone)
Addresses:
14235 Blanco Rd, San Antonio, TX 78216 (Mailing)
722 Isom Rd, San Antonio, TX 78216
State ID:
0801559306
Business type:
Domestic Limited Liability Company (LLC)
Member, Owners:
Gia Vasquez (Director, Member), 722 Isom Rd SUITE A, San Antonio, TX 78216,Gia V. Ortega Member, Owner, inactive
Agent:
Gia N Vazquez,14235 Blanco Rd, San Antonio, TX 78216 (Physical)
TIN:
32047155380

Behavior Analysts licenses in Texas










Other Doctors licenses in Texas