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Organization

BLOOM THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HELENE M STEPHENS M.ED, BCBA, LBA (OWNER/BCBA)
(580) 448-0232
Entity
Organization

Contact information

Practice address
20 A ST NW, ARDMORE, OK 73401-6508
(580) 448-0232
Mailing address
20 A ST NW, ARDMORE, OK 73401-6508
(580) 448-0232

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
05/02/2022
Last updated
04/18/2024
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