Active NPI
Blooming Tree ABA, LLC
- Behavior Analyst
- Albuquerque, NM
National Provider Identifier
1124989629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- BLOOMING TREE ABA, LLC
- Practice address
- 1209 Mountain Road PL NE Ste 7469
Albuquerque, NM 87110-7845 - Phone
- (505) 289-0177
- NPI assigned
- Nov 24, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenneth Klein
- Title
- Owner
- Phone
- (505) 289-0177
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
1209 Mountain Road PL NE Ste 7469
Albuquerque, NM 87110-7845
Mailing address
1209 Mountain Road PL NE Ste 7469
Albuquerque, NM 87110-7845
Phone (505) 289-0177
National Provider Directory
National Provider DirectoryLocations
1209 Mountain Road Pl NE
Ste 7469
Albuquerque, NM 87110
Phone (505) 289-0177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763942400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763942400000",
"number": "1124989629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1209 MOUNTAIN ROAD PL NE STE 7469",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871107845",
"telephone_number": "505-289-0177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1209 MOUNTAIN ROAD PL NE STE 7469",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871107845",
"telephone_number": "505-289-0177"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLOOMING TREE ABA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-24",
"last_updated": "2025-11-24",
"certification_date": "2025-11-23",
"status": "A",
"authorized_official_last_name": "KLEIN",
"authorized_official_first_name": "KENNETH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "505-289-0177"
},
"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 Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.