Full Name | Bloom Therapy Llc |
---|---|
Speciality | Behavior Analyst |
Location | 20 A St Nw, Ardmore, Oklahoma |
Authorized Official Name and Position | Helene M Stephens (OWNER/BCBA) |
Authorized Official Contact | 5804480232 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bloom Therapy Llc 20 A St Nw Ardmore OK 73401-6508 Ph: (580) 448-0232 | Bloom Therapy Llc 20 A St Nw Ardmore OK 73401-6508 Ph: (580) 448-0232 |
NPI Number | 1265177513 |
---|---|
Provider Enumeration Date | 05/02/2022 |
Last Update Date | 04/18/2024 |
Certification Date | 04/18/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265177513 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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