Organization
BLOOM ABA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY ELIZABETH HADDOCK MED (BCBA)
(408) 440-9362
Entity
Organization
Contact information
Practice address
2326 OAK FLAT RD, SAN JOSE, CA 95131-1929
(408) 440-9362
Mailing address
2326 OAK FLAT RD, SAN JOSE, CA 95131-1929
(408) 440-9362
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/09/2020
Last updated
06/11/2020
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