Organization
BEHAVIORS IN BLOOM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUANITA SHANICE PLYMOUTH BCBA (OWNER/CEO)
(252) 624-8663
Entity
Organization
Contact information
Practice address
8002 UNIVERSITY RIDGE DR APT 107, CHARLOTTE, NC 28213-4147
(252) 624-8663
Mailing address
8002 UNIVERSITY RIDGE DR APT 107, CHARLOTTE, NC 28213-4147
(252) 624-8663
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/10/2026
Last updated
03/10/2026
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