# BLOOMING MINDS CHILD DEVELOPMENT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Blooming Minds Child Development, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023606019
- **Authorized official:** JENNIFER GRACIANO MSED (TEACHER)
- **Authorized official phone:** (347) 721-0441

## Contact information

- **Practice address:** 8164 102ND AVE APT 1, OZONE PARK, NY 11416-2045
- **Practice address phone:** (347) 721-0441
- **Mailing address:** 8164 102ND AVE APT 1, OZONE PARK, NY 11416-2045
- **Mailing address phone:** (347) 721-0441

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/05/2021
- **Last updated:** 01/05/2021