NPI 1295329654 · live from the CMS NPI Registry
Bloom Behavior Services LLC
Behavior Analyst in Washington, MO. National Provider Identifier 1295329654, active.
NPI record
| NPI | 1295329654 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 910 W 14th St Ste 230, Washington, MO 63090 |
| Practice phone | 573-480-0440 |
| Mailing address | 901 W 14th St Ste 230, Washington, MO 63090 |
| Enumerated | February 25, 2021 |
| Last updated | January 22, 2025 |
| Authorized official | Sally Lavigne, Owner/Bcba |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
| Behavior Technician | 106S00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.