Blossom ABA Therapy LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BLOSSOM ABA THERAPY LLC

Practice address

3372 Peachtree Rd NE Ste 115
Atlanta, GA 30326-1881

Phone

(857) 327-5283

Fax

(857) 340-6300

NPI assigned

Feb 2, 2021

Organization subpart

No

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

Authorized official

Name

Chad Kaufman, LNHA

Title

Owner

Phone

(917) 538-7239

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.

• Denise M Peterson

  • Behavior Analyst
  • Acworth, GA
  • NPI 1023679990
  NPD (past)

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736035200000",
    "number": "1104417013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 ROUTE 70",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087234042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3372 PEACHTREE RD NE STE 115",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303261881",
            "telephone_number": "857-327-5283",
            "fax_number": "857-340-6300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Arch St Fl 8",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021107500",
            "country_code": "US",
            "telephone_number": "917-538-7239",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6000 Poplar Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381193981",
            "country_code": "US",
            "telephone_number": "732-730-7505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLOSSOM ABA THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-02",
        "last_updated": "2025-01-05",
        "certification_date": "2025-01-05",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-538-7239",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ann Bloom, RN
• Lauren Dufour Bloom, MD
• Michael M Bloom, O.D.
• Blooming Care in-Home Care Services
• Blooming Forward ABA LLC
• Cameron Nichole Blount
• India Blount
• Nakesha F Blount
• Ray Blount, LNMT
• Roxson Perry Blount III, CSA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.