Behavior Blossoms LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-13-14275 Issued in FL

Legal business name

BEHAVIOR BLOSSOMS LLC

Practice address

151 W Church Ave
Longwood, FL 32750-4105

Phone

(407) 342-4220

NPI assigned

Apr 25, 2016

Organization subpart

No

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

Authorized official

Name

Justin Kindy

Title

Cfo

Phone

(407) 342-7939

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Behavior Blossoms LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Behavior Blossoms LLC

  • Behavior Analyst
  • Deland, FL
  • NPI 1124788096
  NPD tax ID
• Behavior Blossoms LLC

  • Behavior Analyst
  • Orlando, FL
  • NPI 1982270781
  NPD tax ID

Locations

Practitioners 3

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

• Courtney Aker, RN

  • Behavior Technician
  • Lake Mary, FL
  • NPI 1801336292
  NPD (past)
• Vanessa Ashton Kindy, MA BCBA

  • Behavior Analyst
  • Longwood, FL
  • NPI 1417378357
  NPD (past)
• Toni Paramore

  • Behavior Technician
  • Lake Mary, FL
  • NPI 1568907137
  NPD (past)

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622592000000",
    "number": "1275988412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 W CHURCH AVE",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504105",
            "telephone_number": "407-342-7939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 W CHURCH AVE",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504105",
            "telephone_number": "407-342-4220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2478 Sand Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328097672",
            "country_code": "US",
            "telephone_number": "407-342-4220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BEHAVIOR BLOSSOMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-25",
        "last_updated": "2021-06-02",
        "certification_date": "2020-08-31",
        "status": "A",
        "authorized_official_last_name": "KINDY",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "407-342-7939"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-13-14275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018050300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary Beckman III, LMHC
• Jessica Suzanne Beebe, LMHC
• Samay Beg, BEHAVIOR TECHNICIAN
• Emily Ann Behal, COTA
• Behavior 180, LLC
• Behavior Change and Associates
• Arabinda Behura, M.D.
• Mark Bella
• Gia Bellard
• Devyani Belsare, MD

• Behavior Analyst in Longwood, FL
• Providers in Longwood, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.