Organization
SWEET BLOOM ABA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENHEA OH MA, BCBA (FOUNDER)
(201) 961-4665
Entity
Organization
Contact information
Practice address
44 GODWIN AVE STE 300, MIDLAND PARK, NJ 07432-1959
(201) 429-2540
(201) 429-2851
Mailing address
44 GODWIN AVE STE 300, MIDLAND PARK, NJ 07432-1959
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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