Active NPI
Learn & Blossom ABA Therapy
- Behavior Analyst
- Winston Salem, NC
National Provider Identifier
1184405268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- 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, 2023
- 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
- Zakia Nadira Allah, BCBA, LBA
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Behavior Analyst
- Winston Salem, NC
- NPI 1740744929
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.