Organization
BLOOM FAMILY ABA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ONESTIE JACKSON BCBA, LBA (BCBA)
(732) 693-0897
Entity
Organization
Contact information
Practice address
3605 KEMPTOWN CHURCH RD, MONROVIA, MD 21770-8703
(732) 693-0897
Mailing address
3605 KEMPTOWN CHURCH RD, MONROVIA, MD 21770-8703
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/15/2025
Last updated
01/28/2025
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