Flourish ABA Therapy

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

FLOURISH ABA THERAPY

Practice address

13109 Bustleton Ave
Suite A29
Philadelphia, PA 19116

Phone

(484) 838-6173

NPI assigned

Oct 29, 2020

Organization subpart

No

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

Authorized official

Name

Hank Tund

Title

Partner

Phone

(484) 838-6173

Specialties & licenses 6

Addresses

Other names 1

• Fabatherapy Doing business as

Practitioners 1

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

• Festus Aigbokhai

  • Behavior Analyst
  • Philadelphia, PA
  • NPI 1396479796
  NPD

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613347200000",
    "number": "1104426055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52138",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191157138",
            "telephone_number": "484-838-6173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13109 BUSTLETON AVE",
            "address_2": "SUITE A29",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19116",
            "telephone_number": "484-838-6173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13109 Bustleton Ave Apt A29",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191161634",
            "country_code": "US",
            "telephone_number": "215-280-0756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLOURISH ABA THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-29",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A",
        "authorized_official_last_name": "TUND",
        "authorized_official_first_name": "HANK",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "484-838-6173"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fabatherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacqueline Flores, MHA
• Maria Clara Flores, MSS
• Maria I Flores, M.D.
• Sarah Ann Flores, LCSW
• Floss & Gloss Dental Group LLC
• Flourish Psychiatry & Wellness
• Flow Pediatric Therapy
• Lena Marie Flower, CRNP
• Fiona Flowerhill
• Woodbine Flowers, CRNP

• Early Intervention Provider Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Early Intervention Provider Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; 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.