Bloom, Gabrielle Elena
Bloom, Gabrielle Elena is an individual health care provider with primary practice located at 2814 Woodcliff Cir Se , Grand Rapids MI 49506-3155. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Bloom, Gabrielle Elena can be contacted via phone (855) 832-6727.Contact Information
Primary practice address
2814 Woodcliff Cir Se
Grand Rapids MI 49506-3155
Phone: (855) 832-6727
Fax: (772) 675-9100
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-12-10114 |
Profile Details
| NPI number | 1700144060 |
|---|---|
| LBN Legal business name | Bloom, Gabrielle Elena |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2012 |
| Last updated | Apr 16th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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