Blossoming Connections LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BLOSSOMING CONNECTIONS LLC

Practice address

176A Main St
Conway, NH 03818-6164

Phone

(603) 689-6188

NPI assigned

Aug 14, 2024

Organization subpart

No

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

Authorized official

Name

Courtney ClarkNPI 1558722082

Title

Owner

Phone

(603) 689-6188

Specialties & licenses 1

Addresses

Practitioners 1

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

• Courtney Clark, BCBA

  • Behavior Analyst
  • Conway, NH
  • NPI 1558722082
  NPD Authorized official

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1215769708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22",
            "city": "CONWAY",
            "state": "NH",
            "postal_code": "038180022",
            "telephone_number": "603-689-6188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176A MAIN ST",
            "city": "CONWAY",
            "state": "NH",
            "postal_code": "038186164",
            "telephone_number": "603-689-6188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOMING CONNECTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-689-6188"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bellini Psychology
• Samantha Bellini, PSY.D.
• Elizabeth E Bicio, LCSW
• Cheryl Bildner, PH.D.
• Bio-Medical Applications of New Hampshire, Inc.
• Blue Heron Neurofeedback and Counseling
• Suzanne Borsody
• Melanie Bova, LCMHC
• Jennifer Bowser
• Judith A Brewster, PA-C

• Behavior Analyst in Conway, NH
• Providers in Conway, NH by specialty
• Behavior Analyst in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.