Organization
BLOOMING ABILITIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOLINE MESSINA M.S., BCBA, LBA (BCBA)
(314) 570-9205
Entity
Organization
Contact information
Practice address
24939 E BERGAMOT CT, LIBERTY LAKE, WA 99019-6036
(314) 570-9205
Mailing address
1324 N LIBERTY LAKE RD # 193, LIBERTY LAKE, WA 99019-8523
(314) 570-9205
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BA60835859
WA
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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