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Contact Information

BLOOMING BEHAVIOR THERAPY LLC
43 BARKLEY CIR STE 101
FORT MYERS, FL33907-7517
 Phone: 239-800-9289
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Assistant Behavior Analyst

106E00000X
 

Behavior Technician

106S00000X
Indicates primary specialty

NPI Profile & details for BLOOMING BEHAVIOR THERAPY LLC · (Female)

NPI # 1427780402
Status Active
Credentials
Entity Individual
Enumeration date 06/28/2022
Last updated 04/03/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • FL Medicaid 114740200
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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