OrganizationActive
Bloom Behavioral Network
NPI 1205723335 · Early Intervention Provider Agency · Saint Paul, MN
Provider details
- NPI number
- 1205723335
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Habone Moussa, Owner(612) 424-2251
Specialties & taxonomies
Agencies
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
519 University Ave W Ste 100
Saint Paul, MN 55103-2162
Phone: (612) 417-3206
Street-level locationGet directions
Mailing address
8613 Platinum Cv
Woodbury, MN 55129-7559
Registry dates
- Enumerated
- 2025-06-20
- Last updated
- 2025-07-15
- Certified
- 2025-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.