| Bloom Behavior Collective Pllc | |
|
5769 Willow Loop Fairchild Afb WA 99011-2203 | |
| (512) 210-1476 | |
| Not Available |
| Full Name | Bloom Behavior Collective Pllc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5769 Willow Loop, Fairchild Afb, Washington |
| Authorized Official Name and Position | Lauren Reyes (OWNER/BCBA) |
| Authorized Official Contact | 5122101476 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Behavior Collective Pllc 5769 Willow Loop Fairchild Afb WA 99011-2203 Ph: (512) 210-1476 | Bloom Behavior Collective Pllc 5769 Willow Loop Fairchild Afb WA 99011-2203 Ph: (512) 210-1476 |
| NPI Number | 1548104615 |
|---|---|
| Provider Enumeration Date | 04/17/2026 |
| Last Update Date | 04/17/2026 |
| Certification Date | 04/17/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548104615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |