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

Neurobloom Behavioral Health, LLC

Organization Behavior Analyst · NPI 1942164843

Neurobloom Behavioral Health, LLC is a Behavior Analyst in Fayetteville, North Carolina. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1516 Berriedale Dr
Fayetteville, NC 28304-5503
Phone: (910) 545-7561
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X
Developmental Disabilities Clinic/Center Taxonomy 261QD1600X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X

Record details

NPI number1942164843
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Danielle Holzworth — Owner · (910) 545-7561
NPI enumeratedDecember 15, 2025
Last updated in NPPESJuly 7, 2026
Certification dateJuly 7, 2026
Mailing address1516 Berriedale Dr, Fayetteville, NC 28304-5503

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