NPI 1619730330 · live from the CMS NPI Registry
Minds In Bloom Aba
Behavior Analyst in Dagsboro, DE. National Provider Identifier 1619730330, active.
NPI record
| NPI | 1619730330 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 34743 Starboard Ct, Dagsboro, DE 19939 |
| Practice phone | 410-299-6499 |
| Enumerated | February 5, 2024 |
| Last updated | February 5, 2024 |
| Authorized official | Hannah Hendrickson, 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.