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Organization
EARLYBLOOM INC.
Active
Organization
EARLYBLOOM INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AIDA RATEVOSIAN (OWNER)
(818) 585-4131
Entity
Organization
Contact information
Practice address
20400 TUBA ST, CHATSWORTH, CA 91311-3454
(818) 585-4131
Mailing address
20400 TUBA ST, CHATSWORTH, CA 91311-3454
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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