Organization
BLISS ABA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA CONTRERAS (M.ED., BCBA, QBA, CEO)
(909) 915-9733
Entity
Organization
Contact information
Practice address
221 N KANSAS ST STE 700, EL PASO, TX 79901-1443
(909) 915-9733
Mailing address
1345 COLMAR RD, SEASIDE, CA 93955-7436
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962941161
—
WA
Enumeration date
01/28/2021
Last updated
03/27/2021
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