Blooming Behavioral Health Inc

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BLOOMING BEHAVIORAL HEALTH INC

Practice address

3600 S State Road 7 Ste 344
Miramar, FL 33023-7203

Phone

(754) 799-3780

Fax

(754) 547-6353

NPI assigned

Nov 15, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Celia Santos Gallego, BCBANPI 1760042139

Title

President

Phone

(754) 799-3780

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Celia Santos Gallego

  • Behavior Analyst
  • Miami, FL
  • NPI 1760042139
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1003525437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 S STATE ROAD 7 STE 344",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330237203",
            "telephone_number": "754-799-3780",
            "fax_number": "754-547-6353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 S STATE ROAD 7 STE 344",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330237203",
            "telephone_number": "754-799-3780",
            "fax_number": "754-547-6353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMING BEHAVIORAL HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-15",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "SANTOS GALLEGO",
        "authorized_official_first_name": "CELIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "754-799-3780",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Miramar, FL
• Providers in Miramar, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.