Organization
BLOOM BEHAVIORAL HEALTH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI ANN AGUIRRE-OCHOA BCBA (EXECUTIVE DIRECTOR)
(909) 614-9534
Entity
Organization
Contact information
Practice address
824 GLENHAVEN AVE, FULLERTON, CA 92832-1141
(909) 614-9534
Mailing address
824 GLENHAVEN AVE, FULLERTON, CA 92832-1141
(909) 614-9534
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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