Organization
BRAVE ABA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HALIMO H ROBLE (MANAGER)
(507) 319-1718
Entity
Organization
Contact information
Practice address
4470 W 78TH STREET CIR, BLOOMINGTON, MN 55435-5408
(507) 319-1718
Mailing address
4470 W 78TH STREET CIR, BLOOMINGTON, MN 55435-5408
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/27/2025
Last updated
06/27/2025
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