Organization
BLOOMWELL BEHAVIORAL HEALTH INC.
Active
Parent organization
BLOOMWELL BEHAVIORAL HEALTH INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLOOMWELL BEHAVIORAL HEALTH INC.
Authorized official
LOGAN PRATT (CEO)
(612) 201-2468
Entity
Organization
Contact information
Practice address
2829 N 90TH ST, OMAHA, NE 68134-5774
(401) 819-4059
(919) 561-6112
Mailing address
382 NE 191ST ST STE 98090, MIAMI, FL 33179-3899
(612) 201-2468
(919) 561-6112
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
103T00000X
Psychologist
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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