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Organization

NEUROBLOOM ABA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CESIAH BERNAL BCBA (OWNER/BCBA)
(606) 465-7588
Entity
Organization

Contact information

Practice address
4032 FERGUSON DR, ASHLAND, KY 41101-6261
(606) 465-7588
Mailing address
4032 FERGUSON DR, ASHLAND, KY 41101-6261
(606) 465-7588

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)

Other

Enumeration date
06/26/2025
Last updated
06/26/2025
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