Organization
MINDBLOOM EVALUATION & CONSULTATION
Active
Other names
MindBloom Evaluations & Consultation
Organization subpart
No
Provider details
NPI number
Authorized official
TARYN NICKSIC-SPRINGER PHD, BCBA-D (OWNER)
(801) 755-9196
Entity
Organization
Contact information
Practice address
4848 W THRUSH HILL DR STE 270, WEST JORDAN, UT 84081-4126
(801) 755-9196
Mailing address
4848 W THRUSH HILL DR STE 270, WEST JORDAN, UT 84081-4126
(801) 755-9196
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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