Organization
BLOOMING ABA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIA MOYA M.S. (CEO)
(909) 693-9256
Entity
Organization
Contact information
Practice address
3424 CAJON BLVD, SAN BERNARDINO, CA 92407-6256
(909) 255-5316
Mailing address
3424 CAJON BLVD, SAN BERNARDINO, CA 92407-6256
(909) 255-5316
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/05/2025
Last updated
05/06/2026
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