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Organization
BLOOMING BEHAVIOR THERAPY LLC
Active
Organization
BLOOMING BEHAVIOR THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANA LAURA TRUJILLO (OWNER)
(857) 247-1006
Entity
Organization
Contact information
Practice address
43 BARKLEY CIR STE 101, FORT MYERS, FL 33907-7517
(239) 800-9289
Mailing address
43 BARKLEY CIR STE 101, FORT MYERS, FL 33907-7517
(239) 800-9289
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114740200
—
FL
Enumeration date
06/28/2022
Last updated
04/03/2025
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