MEDICARE: BLOOMING FUTURES CORP.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	101YP2500X	Professional Counselor
3	103K00000X	Behavior Analyst
4	106S00000X	Behavior Technician
5	106E00000X	Assistant Behavior Analyst

General Provider Information

NPI Number	:	1437091758
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLOOMING FUTURES CORP.

Provider Business Mailing Address
First Line	:	1640 OCEAN AVE APT 4N
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-4916
Country	:	US
Telephone Number	:	347-691-5477
Fax Number	:

Provider Business Practice Location Address
First Line	:	1640 OCEAN AVE APT 4N
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-4916
Country	:	US
Telephone Number	:	347-691-5477
Fax Number	:

Authorized Official
Title or Position	:	PROVIDER
Name	:	DIANA RUVINOVA
Credential	:
Telephone Number	:	347-691-5477

Provider Enumeration Date	:	04/07/2026
Last Update Date	:	04/07/2026

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Directions to “BLOOMING FUTURES CORP. ” Practice Location

Language	Start Address	Practice Location

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