Active NPI
Blossoming Minds Services LLC
- Behavior Analyst
- Elmont, NY
National Provider Identifier
1336055052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- BLOSSOMING MINDS SERVICES LLC
- Practice address
- 115 Flint PL
Elmont, NY 11003-3613 - Phone
- (917) 325-7342
- NPI assigned
- Aug 21, 2026
- 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
- Ms. Edwouine Fleury- Swift, MS.ED
- Title
- Special Instructor/ABA Provider
- Phone
- (917) 325-7342
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
115 Flint PL
Elmont, NY 11003-3613
Mailing address
115 Flint PL
Elmont, NY 11003-3613
Phone (917) 325-7342
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788134400000",
"number": "1336055052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 FLINT PL",
"city": "ELMONT",
"state": "NY",
"postal_code": "110033613",
"telephone_number": "917-325-7342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 FLINT PL",
"city": "ELMONT",
"state": "NY",
"postal_code": "110033613",
"telephone_number": "917-325-7342"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLOSSOMING MINDS SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-21",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A",
"authorized_official_last_name": "SWIFT",
"authorized_official_first_name": "EDWOUINE",
"authorized_official_middle_name": "FLEURY-",
"authorized_official_title_or_position": "SPECIAL INSTRUCTOR/ABA PROVIDER",
"authorized_official_telephone_number": "917-325-7342",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MS.ED"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elmont, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.