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BLOOM BEHAVIORAL NETWORK
NPI 1205723335
Early Intervention Provider Agency in Saint Paul, MN

Active since June 20, 2025
519 UNIVERSITY AVE W STE 100, SAINT PAUL, MN 55103(612) 417-3206 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bloom Behavioral Network NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLOOM BEHAVIORAL NETWORK (NPI 1205723335) is a healthcare organization registered as an early intervention provider agency in Saint Paul, Minnesota and active in the NPI registry since June 2025. The organization lists Habone Moussa, Owner, as its authorized official.

NPPES Registry Identity

NPI1205723335
Entity TypeOrganization
Primary Taxonomy252Y00000X
Legal Business NameBLOOM BEHAVIORAL NETWORK
Location Address519 UNIVERSITY AVE W STE 100Saint Paul, MN 55103-2162
Mailing Address8613 Platinum CvWoodbury, MN 55129-7559 · (612) 417-3206
Phone(612) 417-3206
Organization SubpartNo
Authorized OfficialHabone MoussaOwner · (612) 424-2251
Enumeration DateJune 20, 2025
Last NPPES UpdateJuly 15, 2025
NPPES CertifiedJuly 15, 2025
✔ NPI 1205723335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEarly Intervention Provider AgencyAgencies
Taxonomy Code252Y00000X
Definition
Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children's needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development.
519 UNIVERSITY AVE W STE 100, Saint Paul, MN 55103
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bloom Behavioral Network's NPI number?

The NPI number for Bloom Behavioral Network is 1205723335. It was assigned to this organization in the NPPES registry on June 20, 2025.

Where is Bloom Behavioral Network located?

Bloom Behavioral Network is located at 519 University Ave W Ste 100, Saint Paul, MN 55103. The listed phone number is (612) 417-3206.

What is Bloom Behavioral Network's specialty?

The primary specialty registered for this NPI is Early Intervention Provider Agency with taxonomy code 252Y00000X.

When was this NPI record last updated?

The NPPES record for Bloom Behavioral Network was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.