Bloom ABA Therapy PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BLOOM ABA THERAPY PLLC

Practice address

201 Quaker LN
Delanson, NY 12053-2833

Phone

(518) 366-9675

NPI assigned

Sep 1, 2022

Organization subpart

No

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

Authorized official

Name

Jessica LaneNPI 1083066443

Title

Owner

Phone

(518) 366-9675

Specialties & licenses 1

Addresses

Practitioners 3

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

• Jessica Lane, MS LBA, BCBA

  • Behavior Analyst
  • Clifton Park, NY
  • NPI 1083066443
  NPD Authorized official
• Pamela Baker

  • Behavior Analyst
  • Delanson, NY
  • NPI 1659022382
  NPD
• Michelle M McFerran, M.S.ED

  • Speech-Language Pathologist
  • Delanson, NY
  • NPI 1477070936
  NPD

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1033839717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 QUAKER LN",
            "city": "DELANSON",
            "state": "NY",
            "postal_code": "120532833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 QUAKER LN",
            "city": "DELANSON",
            "state": "NY",
            "postal_code": "120532833",
            "telephone_number": "518-366-9675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM ABA THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-366-9675"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Baker
• Victoria Marie Balbian
• Bassett Healthcare Delanson
• Kristin Kelly Beaver, LPN
• Wendy Bender
• Justine Elizabeth Buckley, M.S.ED, CCC-SLP
• Jazmin Burke, MS ED. CAS NCSP
• Michelle Jamie Burnham, PSYD
• Joyce B Burton, D.O.
• Anna Mary Woods Carbone-Harms

• Community/Behavioral Health Agency in Delanson, NY
• Providers in Delanson, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.