| Blooming Minds Behavioral Health Llc | |
|
11252 S Sacramento Ave Chicago IL 60655-2302 | |
| (239) 944-1670 | |
| Not Available |
| Full Name | Blooming Minds Behavioral Health Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 11252 S Sacramento Ave, Chicago, Illinois |
| Authorized Official Name and Position | Katya Lopez (BCBA) |
| Authorized Official Contact | 2399441670 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blooming Minds Behavioral Health Llc 11252 S Sacramento Ave Chicago IL 60655-2302 Ph: (239) 944-1670 | Blooming Minds Behavioral Health Llc 11252 S Sacramento Ave Chicago IL 60655-2302 Ph: (239) 944-1670 |
| NPI Number | 1598621302 |
|---|---|
| Provider Enumeration Date | 12/25/2025 |
| Last Update Date | 12/25/2025 |
| Certification Date | 12/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598621302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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