STANLEY SHANE BLOOM

AIEA, HI
NPI1093244782
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103K00000X Behavior Analyst
(Licence: HI  BA-433)
Enumeration Date2017-06-07
Last Update Date2023-12-01
Business Address
Mr. STANLEY SHANE BLOOM BCBA
98-939 MOANALUA RD
AIEA, HI 96701-5012
Phone number: 855-223-7123
Mailing Address
Mr. STANLEY SHANE BLOOM BCBA
PO BOX 33568
SAN DIEGO, CA 92163-3568
Phone number: 855-223-7123
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