| Minds In Bloom Aba | |
|
34743 Starboard Ct Dagsboro DE 19939-3338 | |
| (410) 299-6499 | |
| Not Available |
| Full Name | Minds In Bloom Aba |
|---|---|
| Speciality | Behavior Analyst |
| Location | 34743 Starboard Ct, Dagsboro, Delaware |
| Authorized Official Name and Position | Hannah Hendrickson (OWNER/BCBA) |
| Authorized Official Contact | 4102996499 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Minds In Bloom Aba 34743 Starboard Ct Dagsboro DE 19939-3338 Ph: (410) 299-6499 | Minds In Bloom Aba 34743 Starboard Ct Dagsboro DE 19939-3338 Ph: (410) 299-6499 |
| NPI Number | 1619730330 |
|---|---|
| Provider Enumeration Date | 02/05/2024 |
| Last Update Date | 02/05/2024 |
| Certification Date | 02/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619730330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Lighthouse Therapy Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 30838 Vines Creek Rd, Suite 2b, Dagsboro, DE 19939 Phone: 302-732-1310 |