Healthcare Provider Details
I. General information
NPI: 1235933987
Provider Name (Legal Business Name): SUNNY BLOSSOMS THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/02/2025
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2121 1ST AVE N STE N
BIRMINGHAM AL
35203-4236
US
IV. Provider business mailing address
2121 1ST AVE N STE N
BIRMINGHAM AL
35203-4236
US
V. Phone/Fax
- Phone: 334-758-0225
- Fax: 855-975-2446
- Phone: 334-758-0225
- Fax: 855-975-2446
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
KIMBERLY
FINGER
Title or Position: CEO
Credential: PH.D.
Phone: 334-758-0225