Bloom Licensed Behavioral Analyst PLLC
Behavior Analyst in Spring Valley, NY. Organization (NPI-2).
NPI number1497632608
StatusActive
Last updated in NPPESMar 26, 2026
Details
- NPI
- 1497632608
- Entity type
- Organization (NPI-2)
- Legal business name
- Bloom Licensed Behavioral Analyst PLLC
- Organization subpart
- No
- Enumeration date
- Aug 19, 2025
- Certification date
- Mar 26, 2026
- Last updated
- Mar 26, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
21 Grove St # 108Spring Valley, NY 10977-4866
Phone 845-285-6626
Mailing address
21 Grove St # 108Spring Valley, NY 10977-4866
Phone 845-285-6626
Authorized official
Chaim Goldberg
Member
8454221958
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