| Bloom Behavior Services Llc | |
|
266 Ladera Ln Washington MO 63090-5763 | |
| (573) 480-0440 | |
| Not Available |
| Full Name | Bloom Behavior Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 266 Ladera Ln, Washington, Missouri |
| Authorized Official Name and Position | Sally Marie Lavigne (OWNER/BCBA) |
| Authorized Official Contact | 5734800440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Behavior Services Llc 266 Ladera Ln Washington MO 63090-5763 Ph: (636) 432-6709 | Bloom Behavior Services Llc 266 Ladera Ln Washington MO 63090-5763 Ph: (573) 480-0440 |
| NPI Number | 1295329654 |
|---|---|
| Provider Enumeration Date | 02/25/2021 |
| Last Update Date | 05/20/2021 |
| Certification Date | 05/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295329654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
Mercy Hospital Washington Mcauley Clinic Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 851 E 5th St, Suite 200, Washington, MO 63090 Phone: 636-239-8000 | |
A Peaceful Heart Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 426 E 5th St, Washington, MO 63090 Phone: 314-324-3405 | |
Encouraging Hope Counseling Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 901 W 14th St Ste 200, Washington, MO 63090 Phone: 636-432-1992 | |
Life Balance Counseling Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 426 E 5th St, Washington, MO 63090 Phone: 314-660-7473 | |
Transitions Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1190 Jefferson St, Suite 102, Washington, MO 63090 Phone: 636-390-4422 Fax: 636-390-4449 | |
Dynamic Changes Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1190 Jefferson St Ste 102, Washington, MO 63090 Phone: 314-808-1250 | |
Jodi Fortner Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1323 Jasper Ln, Washington, MO 63090 Phone: 636-667-9292 |