Healthcare Provider Details

I. General information

NPI: 1801791835
Provider Name (Legal Business Name): MEANINGFUL BLOOM BEHAVIORAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2654 BRIARTON DR
LINCOLN CA
95648-8241
US

IV. Provider business mailing address

2654 BRIARTON DR
LINCOLN CA
95648-8241
US

V. Phone/Fax

Practice location:
  • Phone: 916-582-9226
  • Fax:
Mailing address:
  • Phone: 916-582-9226
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name: MICHELLE MARIE SPINALE
Title or Position: CEO/OWNER
Credential: BCBA
Phone: 916-581-9226