In Bloom Aba, LLC

NPI #1508455205 in Clarksville, Tennessee

Provider Information

NPI Number: 1508455205
Entity Type: Organization
Organization Name: In Bloom Aba, LLC
Primary Specialty: Behavior Analyst
Enumeration Date: Jan 16, 2021
Last Updated: Jan 16, 2021

Practice Location

Address: 3142 WHITETAIL DR
City: Clarksville
State: Tennessee
ZIP Code: 37043
Phone: (931) 249-5286

Authorized Official

Name: HEATHER CONRAD-SMITH, BCBA
Title: OWNER/MANAGER
Phone: (931) 249-5286

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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