Organization
BLOOM BEHAVIOR COLLECTIVE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN REYES MA, BCBA, LBA (OWNER/BCBA)
(512) 210-1476
Entity
Organization
Contact information
Practice address
5769 WILLOW LOOP, FAIRCHILD AFB, WA 99011-2203
(512) 210-1476
Mailing address
5769 WILLOW LOOP, FAIRCHILD AFB, WA 99011-2203
(512) 210-1476
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/17/2026
Last updated
04/17/2026
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