Organization
BLOOM LICENSED BEHAVIORAL ANALYST PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAIM GOLDBERG BCBA, LBA (MEMBER)
(845) 422-1958
Entity
Organization
Contact information
Practice address
21 GROVE ST # 108, SPRING VALLEY, NY 10977-4866
(845) 285-6626
Mailing address
21 GROVE ST # 108, SPRING VALLEY, NY 10977-4866
(845) 285-6626
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/19/2025
Last updated
03/26/2026
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