Healthcare Provider Details

I. General information

NPI: 1154239804
Provider Name (Legal Business Name): BLOOMING STEPS DEVELOPMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1556 W 8TH ST APT 3
BROOKLYN NY
11204-6503
US

IV. Provider business mailing address

1556 W 8TH ST APT 3
BROOKLYN NY
11204-6503
US

V. Phone/Fax

Practice location:
  • Phone: 347-260-5252
  • Fax:
Mailing address:
  • Phone: 347-260-5252
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. VALENTYNA REBENCHUK
Title or Position: CEO
Credential: MSED
Phone: 347-260-5252