| Bloomkidz Inc. | |
|
2141 E Pecos Rd Ste 1 Chandler AZ 85225-6077 | |
| (480) 846-0607 | |
| (480) 841-6696 |
| Full Name | Bloomkidz Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2141 E Pecos Rd Ste 1, Chandler, Arizona |
| Authorized Official Name and Position | Daniel Scott Feavel (CEO) |
| Authorized Official Contact | 9288536052 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloomkidz Inc. 2141 E Pecos Rd Ste 1 Chandler AZ 85225-6077 Ph: (480) 846-0607 | Bloomkidz Inc. 2141 E Pecos Rd Ste 1 Chandler AZ 85225-6077 Ph: (480) 846-0607 |
| NPI Number | 1083452528 |
|---|---|
| Provider Enumeration Date | 07/18/2024 |
| Last Update Date | 07/23/2024 |
| Certification Date | 07/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083452528 | NPI | - | NPPES |
| 155000 | Medicaid | AZ | |
| BH9666 | Other | AZ | DEPARTMENT OF HEALTH SERVICES |
| OTC13281 | Other | AZ | DEPARTMENT OF HEALTH SERVICES |
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