| Bloom Behavioral & Educational Solutions, Llc | |
|
14411 Larkstone St San Antonio TX 78232-4728 | |
| (210) 643-1119 | |
| Not Available |
| Full Name | Bloom Behavioral & Educational Solutions, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 14411 Larkstone St, San Antonio, Texas |
| Authorized Official Name and Position | Traci Erin Nicole Ramos (BEHAVIOR ANALYST) |
| Authorized Official Contact | 2106431119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Behavioral & Educational Solutions, Llc 14411 Larkstone St San Antonio TX 78232-4728 Ph: (210) 643-1119 | Bloom Behavioral & Educational Solutions, Llc 14411 Larkstone St San Antonio TX 78232-4728 Ph: (210) 643-1119 |
| NPI Number | 1962829382 |
|---|---|
| Provider Enumeration Date | 03/24/2014 |
| Last Update Date | 03/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962829382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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