Bloom Behavior Services LLC

Behavior Analyst · Washington, MO

Organization Active NPI

NPI number 1295329654

Practice location

910 W 14TH St Ste 230
Washington, MO 63090-7003
Phone
(573) 480-0440

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NPI record

NPI
1295329654
Entity type
Organization (Type 2)
Enumeration date
February 25, 2021
Last updated
January 22, 2025
Certified
January 22, 2025
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X — —
Behavior Technician 106S00000X — —

Mailing address

901 W 14TH St Ste 230
Washington, MO 63090-4198
Phone
(636) 432-6709
Fax
(636) 432-1559

Authorized official

Name
Ms. Sally Marie Lavigne, BCBA
Title
Owner/Bcba
Phone
(573) 480-0440

Other practice locations (1)

  • 266 Ladera Ln, Washington, MO 63090-5763 · (573) 480-0440

About Bloom Behavior Services LLC

Bloom Behavior Services LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 910 W 14TH St Ste 230, Washington, MO 63090-7003. The NPI number 1295329654 was assigned on February 25, 2021 and the record was last updated on January 22, 2025.

The authorized official for this organization is Ms. Sally Marie Lavigne, BCBA, Owner/Bcba.

Frequently asked questions

What is the NPI number of Bloom Behavior Services LLC?

The NPI number is 1295329654.

What is the phone number of Bloom Behavior Services LLC?

The phone number listed for the practice location is (573) 480-0440.

Where is Bloom Behavior Services LLC located?

910 W 14TH St Ste 230, Washington, MO 63090-7003.

What is the taxonomy code for Bloom Behavior Services LLC?

The primary taxonomy code is 103K00000X – Behavior Analyst; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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