NPI 1396533600 · live from the CMS NPI Registry
Bloomwell Behavioral Health INC.
Behavior Analyst in Omaha, NE. National Provider Identifier 1396533600, active.
NPI record
| NPI | 1396533600 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 2829 N 90th St, Omaha, NE 68134 |
| Practice phone | 401-819-4059 |
| Mailing address | 382 Ne 191st St Ste 98090, Miami, FL 33179 |
| Enumerated | April 28, 2025 |
| Last updated | April 28, 2025 |
| Authorized official | Logan Pratt, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
| Psychologist | 103T00000X | — |
| Assistant Behavior Analyst | 106E00000X | — |
| Behavior Technician | 106S00000X | — |
| Physical Therapist | 225100000X | — |
| Occupational Therapist | 225X00000X | — |
| Speech-Language Pathologist, | 235Z00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.