| Bloom Aba Llc | |
|
3905 Kent Rd Stow OH 44224-4226 | |
| (330) 842-2197 | |
| Not Available |
| Full Name | Bloom Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3905 Kent Rd, Stow, Ohio |
| Authorized Official Name and Position | Melanie Angell (CEO) |
| Authorized Official Contact | 3308422197 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Aba Llc 3905 Kent Rd Stow OH 44224-4226 Ph: (330) 842-2197 | Bloom Aba Llc 3905 Kent Rd Stow OH 44224-4226 Ph: (330) 842-2197 |
| NPI Number | 1851158950 |
|---|---|
| Provider Enumeration Date | 03/05/2024 |
| Last Update Date | 03/05/2024 |
| Certification Date | 03/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851158950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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