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NPI Code Detail

MEDICARE: FLEURISH AND BLOOM BEHAVIOR CENTER, PLLC

MEDICARE: FLEURISH AND BLOOM BEHAVIOR CENTER, PLLC
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician
2103K00000XBehavior Analyst

General Provider Information

NPI Number : 1811887110
Entity Type Code : Organization
Provider Name (Legal Business Name) : FLEURISH AND BLOOM BEHAVIOR CENTER, PLLC
Provider Business Mailing Address
First Line : 3919 ARANSAS DR
Second Line :
City : BELTON
State : TX
Zip : 76513-7680
Country : US
Telephone Number : 915-841-1055
Fax Number :
Provider Business Practice Location Address
First Line : 3919 ARANSAS DR
Second Line :
City : BELTON
State : TX
Zip : 76513-7680
Country : US
Telephone Number : 915-841-1055
Fax Number :
Authorized Official
Title or Position : OWNER
Name : VALARIE ANNE BROWN
Credential :
Telephone Number : 915-841-1055
Provider Enumeration Date : 07/08/2025
Last Update Date : 07/14/2025

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