Organization
BLOOM BEHAVIOR CONSULTING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY PINNER (OWNER)
(860) 917-0923
Entity
Organization
Contact information
Practice address
85 STONEHEIGHTS DR, WATERFORD, CT 06385-1975
(860) 917-0923
Mailing address
85 STONEHEIGHTS DR, WATERFORD, CT 06385-1975
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-13-5339
CT
Other
Enumeration date
09/09/2016
Last updated
09/09/2016
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