Organization Active NPI

Blossoming Minds Services LLC

  • Behavior Analyst
  • Elmont, NY
National Provider Identifier
1336055052
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
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

Updated by the provider on Aug 31, 2026

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)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Practitioners & 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.

Verify at the official NPI Registry.