Blossom & Bloom ABA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BLOSSOM & BLOOM ABA

Doing business as

Blossom & Bloom ABA

Practice address

612 Freedom TRL
Brunswick, GA 31525-4787

Phone

(732) 330-6142

NPI assigned

May 16, 2025

Last updated

May 16, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rachel Anderson, BCBANPI 1427611326

Title

Owner

Phone

(732) 330-6142

Specialties & licenses 1

Addresses

Other names 1

• Blossom & Bloom ABA Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rachel Anderson, BCBA

  • Behavior Analyst
  • Kingsland, GA
  • NPI 1427611326
  NPD Authorized official

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

{
    "created_epoch": "1747353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1083405070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 FREEDOM TRL",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315254787",
            "telephone_number": "732-330-6142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 FREEDOM TRL",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315254787",
            "telephone_number": "732-330-6142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM & BLOOM ABA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-16",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-330-6142",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blossom & Bloom ABA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Carroll Bland, RPH
• Linda M Bland, RPH
• Amanda Rostron Blankinship, CRNA
• Mary Blenkinsop, CCC-SLP
• Ashley Blizzard, RN
• John Blumer, M.D.
• Jimmy Mack Boatright, RPH
• Tracie Bock, RD, LD
• David Thomas Boczar, D.C.
• Jennifer Leever Boczar, D.C.

• Behavior Analyst in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; 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.