BLOOM BEHAVIORAL COMMUNITY NPI 1639652266

NPI Details

BLOOM BEHAVIORAL COMMUNITY is an assistant behavior analyst in Phoenix, AZ. The provider is an assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. BLOOM BEHAVIORAL COMMUNITY NPI is 1639652266. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

819 W SAN MIGUEL AVE
PHOENIX, AZ
ZIP 85013-744
Phone: (602) 434-2612

The provider's authorized official is Jeannette L Everette .
The authorized official title is Administrator and has the following contact phone number (602) 434-2612.

The enumeration date for this NPI number is 9/10/2018 and was last updated on 9/10/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: