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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

NPI Number 1427780402
LBN Legal business name BLOOMING BEHAVIOR THERAPY LLC
Authorized official ANA TRUJILLO - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/28/2022
Last updated 04/03/2025 - More than a year ago
Identifiers
FL Medicaid 114740200
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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