| Bloom Licensed Behavioral Analyst Pllc | |
|
21 Grove St Spring Valley NY 10977-4866 | |
| (718) 222-5999 | |
| Not Available |
| Full Name | Bloom Licensed Behavioral Analyst Pllc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 21 Grove St, Spring Valley, New York |
| Authorized Official Name and Position | Chaim Goldberg (MEMBER) |
| Authorized Official Contact | 7182225999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Licensed Behavioral Analyst Pllc 21 Grove St Spring Valley NY 10977-4866 Ph: () - | Bloom Licensed Behavioral Analyst Pllc 21 Grove St Spring Valley NY 10977-4866 Ph: (718) 222-5999 |
| NPI Number | 1497632608 |
|---|---|
| Provider Enumeration Date | 08/19/2025 |
| Last Update Date | 08/19/2025 |
| Certification Date | 08/19/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497632608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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