| Bloom Aba Llc | |
|
518 Nantucket Rd Forked River NJ 08731-4920 | |
| (609) 751-7609 | |
| Not Available |
| Full Name | Bloom Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 518 Nantucket Rd, Forked River, New Jersey |
| Authorized Official Name and Position | Rachael M Ferrara (BOARD CERTIFIED BEHAVIOR ANALYST) |
| Authorized Official Contact | 6097517609 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Aba Llc 518 Nantucket Rd Forked River NJ 08731-4920 Ph: (609) 751-7609 | Bloom Aba Llc 518 Nantucket Rd Forked River NJ 08731-4920 Ph: (609) 751-7609 |
| NPI Number | 1871377143 |
|---|---|
| Provider Enumeration Date | 08/18/2023 |
| Last Update Date | 08/18/2023 |
| Certification Date | 08/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871377143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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