Organization
BLOOMING MINDS BEHAVIORAL HEALTH LLC
Active
Other names
Blooming Minds ABA
Organization subpart
No
Provider details
NPI number
Authorized official
KATYA LOPEZ M.A., BCBA, LBA (BCBA)
(239) 944-1670
Entity
Organization
Contact information
Practice address
11252 S SACRAMENTO AVE, CHICAGO, IL 60655-2302
(239) 944-1670
Mailing address
11252 S SACRAMENTO AVE, CHICAGO, IL 60655-2302
(239) 944-1670
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/25/2025
Last updated
12/25/2025
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