Individual
AMANDA BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3671 TURTLE RUN BLVD, APT. 1331, CORAL SPRINGS, FL 33067-4213
(954) 856-6926
Mailing address
3671 TURTLE RUN BLVD, APT. 1331, CORAL SPRINGS, FL 33067-4213
(954) 856-6926
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-14404
FL
Other
Enumeration date
06/02/2011
Last updated
03/10/2015
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