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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BREANNAH KATRICE DAVIS-BLOOM, BCBA, LBA

Active Sole Proprietor

BREANNAH KATRICE DAVIS-BLOOM, BCBA, LBA is a Behavior Analyst healthcare provider located in PLAINVILLE, Connecticut. NPI 1689259145 is currently active in the NPPES registry. Verify at CMS.

Behavior Analyst · PLAINVILLE, CT

Registration Details

NPI Number
1689259145
Provider Type
Individual
Gender
Female
NPI Issued
Mar 16, 2021 (5.3717369616237 yrs)
Last Updated
Mar 16, 2021
License
1133 (CT)
Sole Proprietor
Yes

Practice Information

Address
56 W MAIN ST
PLAINVILLE, CT, 060621904
Browse CT providers · Browse ZIP 06062
Phone
3369186033
Primary Specialty
Behavior Analyst
103K00000X

Other Behavior Analyst Providers in PLAINVILLE, CT

Name Credential NPI
KIRSTEN DELIA WEISS MSW 1124341581
MARCELA NUNEZ BCBA 1558687921
DR. LIANNA BROUSSEAU PHD, BCBA-D, LBA-CT 1669859757
MELISSA ANN GERHARD MS BCBA 1194103473
MIRANDA PRATT 1689027260
ELIZABETH ANNE ELLSWORTH MS, BCBA 1720510613
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.