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Organization

BLOOM BEHAVIORAL THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
YENISEI FERIA (PRESIDENT)
(305) 318-9898
Entity
Organization

Contact information

Practice address
9930 NW 21ST ST STE 202, DORAL, FL 33172-2212
(305) 318-9898
Mailing address
9930 NW 21ST ST STE 202, DORAL, FL 33172-2212

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
08/25/2025
Last updated
07/06/2026
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