NPI 1336896786 · live from the CMS NPI Registry
Bloom Behavioral Healthcare LLC
Behavior Analyst in Excelsior Springs, MO. National Provider Identifier 1336896786, active.
NPI record
| NPI | 1336896786 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 14405 Salem Rd, Excelsior Springs, MO 64024 |
| Practice phone | 816-585-1272 |
| Enumerated | March 6, 2022 |
| Last updated | March 6, 2022 |
| Authorized official | Olivia Holt, Co-Owner/Bcba |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | — |
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.