NPI 1770853939

Bloom Behavior Therapy LLC

Organisation Community/Behavioral Health Agency Paducah, KY

Practice location

Address: 6201 Benton Rd, Paducah, KY 42003-1304
Phone: (270) 908-0461
Fax: (270) 366-0780

Authorised official

Name: Becky L Nastally
Title: Owner
Phone: (270) 908-0461

Registered specialties (3)

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence 800217 (KY)

Other Community/Behavioral Health providers in Kentucky →

Behavior Analyst

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence KY-0016 (KY)

Other Behavior Analyst providers in Kentucky →

Developmentally Disabled Services Day Training Agency

Agencies Taxonomy 251C00000X

Other Day Training, Developmentally Disabled Services providers in Kentucky →

Registry record

NPI: 1770853939
Entity type: Organization
NPI issued: 5 Jan 2012
Record last updated: 8 Jul 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.