Kealeah Bloom

NPI #1801560404 in Mansfield, Texas

Provider Information

NPI Number: 1801560404
Entity Type: Individual
Name: Kealeah Bloom
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 6, 2021
Last Updated: Nov 10, 2023

Practice Location

Address: 201 REGENCY PKWY
City: Mansfield
State: Texas
ZIP Code: 76063-5638
Phone: (817) 807-1583

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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