| Bloom Aba Therapy PLLC | |
|
201 Quaker Ln Delanson NY 12053-2833 | |
| (518) 366-9675 | |
| Not Available |
| Full Name | Bloom Aba Therapy PLLC |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 201 Quaker Ln, Delanson, New York |
| Authorized Official Name and Position | Jessica Lane (OWNER) |
| Authorized Official Contact | 5183669675 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Aba Therapy PLLC 201 Quaker Ln Delanson NY 12053-2833 | Bloom Aba Therapy PLLC 201 Quaker Ln Delanson NY 12053-2833 Ph: (518) 366-9675 |
| NPI Number | 1033839717 |
|---|---|
| Provider Enumeration Date | 09/01/2022 |
| Last Update Date | 09/01/2022 |
| Certification Date | 09/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033839717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | () | Primary |