Mr. STANLEY SHANE BLOOM BCBA
Individual Provider (NPI-1)
Active
Behavior Analyst
Provider Information
- NPI Number
1093244782- Provider Type
- Individual Provider (NPI-1)
- Credentials
- BCBA
- Status
- Active
Contact & Location
- Address
- 98-939 MOANALUA RD, AIEA, HI, 967015012
- Phone
- (855) 223-7123
Specialties & Taxonomies
Behavior Analyst
License: HI #1-20-42966
Behavior Analyst
Primary License: HI #BA-433