| Bloom Behavior Consulting Services Llc | |
|
85 Stoneheights Dr Waterford CT 06385-1975 | |
| (860) 917-0923 | |
| Not Available |
| Full Name | Bloom Behavior Consulting Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 85 Stoneheights Dr, Waterford, Connecticut |
| Authorized Official Name and Position | Courtney Pinner (OWNER) |
| Authorized Official Contact | 8609170923 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Behavior Consulting Services Llc 85 Stoneheights Dr Waterford CT 06385-1975 Ph: () - | Bloom Behavior Consulting Services Llc 85 Stoneheights Dr Waterford CT 06385-1975 Ph: (860) 917-0923 |
| NPI Number | 1033666797 |
|---|---|
| Provider Enumeration Date | 09/09/2016 |
| Last Update Date | 09/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033666797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 0-13-5339 (Connecticut) | Primary |
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