| Bloom Aba | |
|
2326 Oak Flat Rd San Jose CA 95131-1929 | |
| (408) 440-9362 | |
| Not Available |
| Full Name | Bloom Aba |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2326 Oak Flat Rd, San Jose, California |
| Authorized Official Name and Position | Cindy Elizabeth Haddock (BCBA) |
| Authorized Official Contact | 4084409362 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Aba 2326 Oak Flat Rd San Jose CA 95131-1929 Ph: (408) 440-9362 | Bloom Aba 2326 Oak Flat Rd San Jose CA 95131-1929 Ph: (408) 440-9362 |
| NPI Number | 1346865979 |
|---|---|
| Provider Enumeration Date | 06/09/2020 |
| Last Update Date | 06/11/2020 |
| Certification Date | 06/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346865979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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