Organization Active NPI

Learn & Blossom ABA Therapy

  • Behavior Analyst
  • Winston Salem, NC
National Provider Identifier
1184405268
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
LEARN & BLOSSOM ABA THERAPY
Practice address
2023 Big House Gaines Blvd
Winston Salem, NC 27101-4610
Phone
(828) 380-1246
NPI assigned
Oct 13, 2023
Last updated
Oct 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Authorized official

Name
Zakia Nadira Allah, BCBA, LBANPI 1740744929
Title
Ceo, Owner
Phone
(828) 380-1246

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

2023 Big House Gaines Blvd
Winston Salem, NC 27101-4610

Mailing address

2023 Big House Gaines Blvd
Winston Salem, NC 27101-4610
Phone (828) 380-1246

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": "1697155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697155200000",
    "number": "1184405268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 BIG HOUSE GAINES BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271014610",
            "telephone_number": "828-380-1246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2023 BIG HOUSE GAINES BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271014610",
            "telephone_number": "828-380-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEARN & BLOSSOM ABA THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-13",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A",
        "authorized_official_last_name": "ALLAH",
        "authorized_official_first_name": "ZAKIA",
        "authorized_official_middle_name": "NADIRA",
        "authorized_official_title_or_position": "CEO, OWNER",
        "authorized_official_telephone_number": "828-380-1246",
        "authorized_official_credential": "BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; 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.