LORRAINE BLOOM

PORTSMOUTH, VA
NPI1134553472
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103K00000X Behavior Analyst
(Licence: VA  0133000240)
Enumeration Date2013-08-22
Last Update Date2016-01-05
Business Address
-- LORRAINE BLOOM BCBA, LBA
67 RIVERVIEW AVE
PORTSMOUTH, VA 23704-1928
Phone number: 313-675-0411
Mailing Address
-- LORRAINE BLOOM BCBA, LBA
67 RIVERVIEW AVE
PORTSMOUTH, VA 23704-1928
Phone number: 313-675-0411
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