Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bloom Behavioral Network

Organization Early Intervention Provider Agency · NPI 1205723335

Bloom Behavioral Network is an Early Intervention Provider Agency in Saint Paul, Minnesota. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

519 University Ave W Ste 100
Saint Paul, MN 55103-2162
Phone: (612) 417-3206
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Early Intervention Provider Agency (primary) Taxonomy 252Y00000X

Record details

NPI number1205723335
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Habone Moussa — Owner · (612) 424-2251
NPI enumeratedJune 20, 2025
Last updated in NPPESJuly 15, 2025
Certification dateJuly 15, 2025
Mailing address8613 Platinum Cv, Woodbury, MN 55129-7559

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