BLOOM BEHAVIORAL HEALTH INC. (NPI# 1649666314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649666314 |
| Entity Type | Organization |
| Organization Name | BLOOM BEHAVIORAL HEALTH INC. |
| Practice Address |
824 Glenhaven Ave Fullerton CA 92832-1141 |
| Practice Telephone | 9096149534 |
| Mailing Telephone | 9096149534 |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2015-04-09 |
| Authorized Official Name | MRS. LORI ANN AGUIRRE-OCHOA (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9096149534 |
| Authorized Official Credential | BCBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
824 GLENHAVEN AVE |
| City | FULLERTON |
| State | CA |
| Zip Code | 92832-1141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932735669 | Diana Hernandez | Behavior Technician | 413 W Commonwealth Ave, Suite C, Fullerton, CA 92832 | 2020-03-13 |
| 1942830013 | Karen Marie Winkle | Speech-Language Pathologist | 812 Lois Lane, Fullerton, CA 92832 | 2020-01-17 |
| 1578122487 | Andrea Arevalo | Behavior Technician | 713 Commonwealth Ave, Suite C, Fullerton, CA 92832 | 2019-06-13 |
| 1275090193 | Madison Elizabeth Miller | Behavior Technician | 714 W Commonwealth Ave, Suite C, Fullerton, CA 92832 | 2019-02-27 |
| 1528525862 | Samantha Rivas | Behavior Technician | 713 W Commonwealth Ave., Suite C, Fullerton, CA 92832 | 2019-02-22 |
| 1760948483 | Marcus Gerard Chavez | Behavioral Analyst | 713 West Commonwealth Suite A, Fullerton, U.S.A 92832 | 2019-02-19 |
| 1710443437 | Rolando Jimenez | Behavior Technician | 713 W. Commonwealth, Suite A, La Habra, CA 92832 | 2019-02-18 |
| 1659872919 | Anthony James Arneson | Marriage & Family Therapist | 120 N Lawrence, Fullerton, CA 92832 | 2018-02-22 |
| 1407302243 | Be Well Pharmacy Inc | Pharmacy | 105 N Lawrence Ave, Fullerton, CA 92832 | 2016-08-31 |
| 1871907972 | Edward Walls | Counselor | 771 W.orangethorpe Ave., Fullerton, CA 92832 | 2014-06-17 |
| Find all providers in zip 92832 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912530098 | Elizabeth Jacqueline Diaz | Behavioral Analyst | 719 W Commonwealth Ave, Fullerton, CA 92832-1612 | 2020-02-18 |
| 1720626385 | Joseph Jungkyu Choi | Behavioral Analyst | 700 Hillsboro Pl, Fullerton, CA 92833-2350 | 2019-12-13 |
| 1760948483 | Marcus Gerard Chavez | Behavioral Analyst | 713 West Commonwealth Suite A, Fullerton, U.S.A 92832 | 2019-02-19 |
| 1558830414 | Megan Alberoni | Behavioral Analyst | 1600 N Acacia Ave, Fullerton, CA 92831-1207 | 2018-11-20 |
| 1265929368 | Autism Therapy Clinic | Behavioral Analyst | 2271 W Malvern Ave Ste 428, Fullerton, CA 92833-2106 | 2018-04-16 |
| 1215472535 | Efrain Bugarin | Behavioral Analyst | 212 Ventura Pl, Fullerton, CA 92833-3237 | 2016-12-21 |
| 1306249701 | Seana Inducil | Behavioral Analyst | 713 W Commonwealth Ave Ste A, Fullerton, CA 92832-1612 | 2014-09-30 |
| 1013327774 | Soar Behavior Services, Inc. | Behavioral Analyst | 1764 E Commonwealth Ave, Unit 104, Fullerton, CA 92831-4818 | 2014-05-04 |
| 1205170883 | Dary Sao | Behavioral Analyst | 1435 N Harbor Blvd # 124, Fullerton, CA 92835-4105 | 2012-11-20 |
| 1932443769 | Bryan James Hebert | Behavioral Analyst | 619 N Harbor Blvd, Fullerton, CA 92832-1517 | 2012-11-16 |
| Find all providers in FULLERTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.