Organization
BLOOM ABA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
A ALI (MANAGER)
(952) 686-1554
Entity
Organization
Contact information
Practice address
7831 E BUSH LAKE RD STE 200I, EDINA, MN 55439-3164
(952) 686-1554
Mailing address
7831 E BUSH LAKE RD STE 200I, EDINA, MN 55439-3164
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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