Organization
BLOOM BEHAVIORAL CONSULTING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA ROSE BLOOM BCBA (OWNER/PRESIDENT)
(954) 856-6926
Entity
Organization
Contact information
Practice address
10850 W SAMPLE RD APT 6507, CORAL SPRINGS, FL 33065-2681
(954) 856-6926
Mailing address
10850 W SAMPLE RD APT 6507, CORAL SPRINGS, FL 33065-2681
(954) 856-6926
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-14404
FL
Other
Enumeration date
07/21/2017
Last updated
07/21/2022
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