Organization
BLOOMING BEHAVIOR SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE FELIX BCBA (DIRECTOR)
(520) 360-1380
Entity
Organization
Contact information
Practice address
134 W WALNUT AVE UNIT D, SAN DIEGO, CA 92103-4880
(520) 360-1380
Mailing address
134 W WALNUT AVE UNIT D, SAN DIEGO, CA 92103-4880
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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