Organization
BLOOMING FORWARD ABA LLC
Active
Organization
BLOOMING FORWARD ABA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EQUENCE BYNUM BCBA (BOARD T CERTIFIED BEHAVIOR AN)
(404) 664-9406
Entity
Organization
Contact information
Practice address
650 FULLIER CIR SW, ATLANTA, GA 30331-7993
(404) 664-9406
Mailing address
650 FULLIER CIR SW, ATLANTA, GA 30331-7993
(404) 664-9406
(404) 664-9406
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/30/2025
Last updated
12/30/2025
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