Organization Active NPI

Behavior Blossoms

  • Behavior Analyst
  • Edmond, OK
National Provider Identifier
1154161644
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BEHAVIOR BLOSSOMS
Practice address
17421 White Hawk Dr
Edmond, OK 73012-7022
Phone
(407) 624-7277
NPI assigned
May 30, 2024
Last updated
Mar 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Authorized official

Name
Hyatt GharibNPI 1750845269
Title
Board Certified Behavior Analyst
Phone
(407) 624-7277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

17421 White Hawk Dr
Edmond, OK 73012-7022

Mailing address

17421 White Hawk Dr
Edmond, OK 73012-7022
Phone (407) 624-7277

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1154161644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17421 WHITE HAWK DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730127022",
            "telephone_number": "407-624-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17421 WHITE HAWK DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730127022",
            "telephone_number": "407-624-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIOR BLOSSOMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-30",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "GHARIB",
        "authorized_official_first_name": "HYATT",
        "authorized_official_title_or_position": "BOARD CERTIFIED BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "407-624-7277"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.