# BLOOM ABA INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912713215
- **Authorized official:** A ALI (MANAGER)
- **Authorized official phone:** (952) 686-1554

## Contact information

- **Practice address:** 7831 E BUSH LAKE RD STE 200I, EDINA, MN 55439-3164
- **Practice address phone:** (952) 686-1554
- **Mailing address:** 7831 E BUSH LAKE RD STE 200I, EDINA, MN 55439-3164

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/10/2024
- **Last updated:** 12/10/2024