| Blooming Mind Behavioral Services Llc | |
|
1461 E Cooley Dr Ste 185 Colton CA 92324-3983 | |
| (909) 850-4651 | |
| (909) 850-4820 |
| Full Name | Blooming Mind Behavioral Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1461 E Cooley Dr Ste 185, Colton, California |
| Authorized Official Name and Position | Elizabeth Garcia (CEO) |
| Authorized Official Contact | 7602775192 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blooming Mind Behavioral Services Llc 1461 E Cooley Dr Ste 185 Colton CA 92324-3983 Ph: (909) 850-4651 | Blooming Mind Behavioral Services Llc 1461 E Cooley Dr Ste 185 Colton CA 92324-3983 Ph: (909) 850-4651 |
| NPI Number | 1871254417 |
|---|---|
| Provider Enumeration Date | 01/05/2022 |
| Last Update Date | 08/22/2023 |
| Certification Date | 08/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871254417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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