LG Behavior Analysis LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

LG BEHAVIOR ANALYSIS LLC

Doing business as

BLOSSOM MINDS ABA THERAPY

Practice address

8000 N Federal Hwy Ste 207
Boca Raton, FL 33487-1681

Phone

(305) 927-0931

NPI assigned

Mar 4, 2024

Organization subpart

No

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

Authorized official

Name

Laura A Gomez, BCBANPI 1720613029

Title

Owner

Phone

(305) 927-0931

Specialties & licenses 1

Addresses

Other names 1

• BLOSSOM MINDS ABA THERAPY Doing business as

Locations

Practitioners 1

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

• Laura Gomez

  • Behavior Analyst
  • Delray Beach, FL
  • NPI 1720613029
  NPD Authorized official

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1083471460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 N FEDERAL HWY STE 207",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871681",
            "telephone_number": "305-927-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 N FEDERAL HWY STE 207",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871681",
            "telephone_number": "305-927-0931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LG BEHAVIOR ANALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-927-0931",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BLOSSOM MINDS ABA THERAPY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BLOSSOM MINDS ABA THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tyrone Steven Lewis, M.S., LMHC,SAP,MAC
• Nancy Lewison, MA,CCC,SLP
• Lex Medical Supply Inc
• Marianela Leyva Gomez
• Suzanne Lezell
• LHH LLC
• Li Y Shi
• Xiaorong Li
• Liberty Medical Supply LLC
• Nick Libian, DC, MS

• Behavior Analyst in Boca Raton, FL
• Providers in Boca Raton, 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 12, 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.