Organization Active NPI

Magnolia Bloom Behavior Solutions

  • Behavior Analyst
  • Augusta, GA
National Provider Identifier
1093549958
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MAGNOLIA BLOOM BEHAVIOR SOLUTIONS
Practice address
823 Broad St
Augusta, GA 30901-1214
Phone
(706) 993-3829
Fax
(706) 955-1048
NPI assigned
Aug 31, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Authorized official

Name
Sarah Buehrer
Title
Administrative Owning Partner
Phone
(706) 993-3829

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

823 Broad St
Augusta, GA 30901-1214

Mailing address

823 Broad St
Augusta, GA 30901-1214
Phone (706) 993-3829

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1725062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743724800000",
    "number": "1093549958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 BROAD ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309011214",
            "telephone_number": "706-993-3829",
            "fax_number": "706-955-1048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 BROAD ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309011214",
            "telephone_number": "706-993-3829",
            "fax_number": "706-955-1048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA BLOOM BEHAVIOR SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-31",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A",
        "authorized_official_last_name": "BUEHRER",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "ADMINISTRATIVE OWNING PARTNER",
        "authorized_official_telephone_number": "706-993-3829"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.