Individual
MICHELLE WESTON-BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED, BCBA
Contact information
Practice address
22 SYCAMORE RD, ROCKY POINT, NY 11778-8641
(516) 404-0838
(631) 849-5731
Mailing address
22 SYCAMORE RD, ROCKY POINT, NY 11778-8641
(516) 404-0838
(631) 849-5731
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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