Behavior Blossoms LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BEHAVIOR BLOSSOMS LLC

Practice address

355 N Kepler Rd
Deland, FL 32724-4713

Phone

(407) 342-7939

Fax

(888) 808-5278

NPI assigned

Dec 20, 2021

Organization subpart

No

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

Authorized official

Name

Justin Kindy

Title

Cfo

Phone

(407) 342-7939

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Behavior Blossoms LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Behavior Blossoms LLC

  • Behavior Analyst
  • Longwood, FL
  • NPI 1275988412
  NPD tax ID
• Behavior Blossoms LLC

  • Behavior Analyst
  • Orlando, FL
  • NPI 1982270781
  NPD tax ID

Locations

Practitioners 2

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

• Lisa Junkin

  • Behavior Technician
  • Deland, FL
  • NPI 1245987171
  NPD
• Cassidy Previlus

  • Behavior Technician
  • Deland, FL
  • NPI 1720796865
  NPD

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

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639958400000",
    "number": "1124788096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 W CHURCH AVE",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 N KEPLER RD",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327244713",
            "telephone_number": "407-342-7939",
            "fax_number": "888-808-5278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIOR BLOSSOMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-20",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A",
        "authorized_official_last_name": "KINDY",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "407-342-7939"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018050303",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joel O Bautista, MD
• Karen F Baxley, PA-C
• Beachside Music Lessons & Therapy, LLC
• Because I Care & More, Inc
• David Bednov, PHYSICIAN ASSISTANT
• Behavioral Services of Volusia, Corp
• Michael C Bell, MD
• Lisa Christine Benitez, M.A., LMHC
• Shonnie Bennett-Perry, PHD, MS, BCBA
• Jessica Michelle Berger

• Behavior Analyst in Deland, FL
• Providers in Deland, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.