Individual
MRS. COURTNEY BLOOM PULTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2730 WILSHIRE BLVD STE 105, SANTA MONICA, CA 90403-4724
(310) 310-2931
(310) 310-2097
Mailing address
2730 WILSHIRE BLVD STE 105, SANTA MONICA, CA 90403-4724
(310) 310-2931
(310) 310-2097
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-14834
CA
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
01/14/2010
Last updated
10/22/2014
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