Organization
COASTAL BLOOM BEHAVIOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANNAH JOSIE SANDOVAL BCBA (OWNER)
(805) 870-9600
Entity
Organization
Contact information
Practice address
2955 CAMINO CALANDRIA, THOUSAND OAKS, CA 91360-4532
(805) 870-9600
(805) 870-8159
Mailing address
2955 CAMINO CALANDRIA, THOUSAND OAKS, CA 91360-4532
(805) 870-9600
(805) 870-8159
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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