Organization
AUTISM BLOOM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYLVIA KURNIAWAN BCBA (MANAGING MEMBER)
(818) 433-0492
Entity
Organization
Contact information
Practice address
25031 AVE STANFORD #30, VALENCIA, CA 91355
(818) 433-0492
Mailing address
3223 MUNRAS PL, SAN RAMON, CA 94583-3039
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/06/2026
Last updated
02/10/2026
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