| Blooming Behavioral Health Inc | |
|
3600 S State Road 7 Ste 344 Miramar FL 33023-7203 | |
| (754) 799-3780 | |
| (754) 547-6353 |
| Full Name | Blooming Behavioral Health Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3600 S State Road 7 Ste 344, Miramar, Florida |
| Authorized Official Name and Position | Celia Santos Gallego (PRESIDENT) |
| Authorized Official Contact | 7547993780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blooming Behavioral Health Inc 3600 S State Road 7 Ste 344 Miramar FL 33023-7203 Ph: (754) 799-3780 | Blooming Behavioral Health Inc 3600 S State Road 7 Ste 344 Miramar FL 33023-7203 Ph: (754) 799-3780 |
| NPI Number | 1003525437 |
|---|---|
| Provider Enumeration Date | 11/15/2022 |
| Last Update Date | 03/06/2024 |
| Certification Date | 03/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003525437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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