Organization
BLOOM BEHAVIORAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELBY SONNIER BCBA, LBA (CO-OWNER, BCBA, LBA)
(337) 532-7826
Entity
Organization
Contact information
Practice address
1734 WOLF CIR, LAKE CHARLES, LA 70605-2353
(337) 240-6038
Mailing address
1734 WOLF CIR, LAKE CHARLES, LA 70605-2353
(337) 240-6038
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/08/2023
Last updated
12/10/2025
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