NPI 1265177513 · live from the CMS NPI Registry
Bloom Therapy LLC
Behavior Analyst in Ardmore, OK. National Provider Identifier 1265177513, active.
NPI record
| NPI | 1265177513 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 20 A St Nw, Ardmore, OK 73401 |
| Practice phone | 580-448-0232 |
| Enumerated | May 2, 2022 |
| Last updated | April 18, 2024 |
| Authorized official | Helene Stephens, Owner/Bcba |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.