Behavior Bloom

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

BEHAVIOR BLOOM

Practice address

680 Jane Stanford Way # C184
Stanford, CA 94305-7313

Phone

(440) 821-8375

NPI assigned

Jan 6, 2022

Last updated

Jul 15, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Samantha Minerd, BCBA

Title

Owner, Bcba

Phone

(440) 821-8375

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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.

• Samantha Dowling

  • Behavior Analyst
  • Rocky River, OH
  • NPI 1659875367
  NPD

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

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657843200000",
    "number": "1255092714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2158 WILLIAMS ST",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061416",
            "telephone_number": "440-821-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 JANE STANFORD WAY # C184",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943057313",
            "telephone_number": "440-821-8375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIOR BLOOM",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-06",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A",
        "authorized_official_last_name": "MINERD",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER, BCBA",
        "authorized_official_telephone_number": "440-821-8375",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APPLIED BEHAVIOR ANALYSIS",
            "identifier": "1659875367",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@behaviorbloom.com",
            "affiliation": "N",
            "address_1": "2158 Williams St",
            "city": "Palo Alto",
            "state": "CA",
            "country_code": "US",
            "postal_code": "943061416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Vadim I Bederov, PA-C
• Harmeet Singh Bedi, MD
• Janette Bedoyan, MS, RD
• Brian Begley, PA
• Margaret Katherine Behan, FNP
• Jessica Behrend, FNP
• Jonah Austin Behrmann, NP
• Evan Ross Beiter, MD
• Faraah Nasser Bekheet, MD
• Joseph Belanoff, MD

• Developmental Disabilities Clinic/Center in Stanford, CA
• Providers in Stanford, CA by specialty
• Developmental Disabilities Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.