Bloom Aba

NPI #1346865979 in San Jose, California

Provider Information

NPI Number: 1346865979
Entity Type: Organization
Organization Name: Bloom Aba
Primary Specialty: Behavior Analyst
Enumeration Date: Jun 9, 2020
Last Updated: Jun 11, 2020

Practice Location

Address: 2326 OAK FLAT RD
City: San Jose
State: California
ZIP Code: 95131-1929
Phone: (408) 440-9362

Authorized Official

Name: CINDY ELIZABETH HADDOCK, MED
Title: BCBA
Phone: (408) 440-9362

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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