Bloom ABA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BLOOM ABA

Practice address

2326 Oak Flat Rd
San Jose, CA 95131-1929

Phone

(408) 440-9362

NPI assigned

Jun 9, 2020

Last updated

Jun 11, 2020By 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

Cindy Elizabeth Haddock, MED

Title

Bcba

Phone

(408) 440-9362

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1346865979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2326 OAK FLAT RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951311929",
            "telephone_number": "408-440-9362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2326 OAK FLAT RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951311929",
            "telephone_number": "408-440-9362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM ABA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "HADDOCK",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "408-440-9362",
        "authorized_official_credential": "MED"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Thomas Block, M.D.
• Peter Scott Block, DC
• Steven Mark Block, MD
• Yvonne P Blockie, MFT
• Bloom & Build, Center for Reproductive & Integrative Psychiatry, Inc. (Bloom and Build Integrative Psychiatry)
• Bloom Counseling Services
• Matthew Brandon Bloom, M.D.
• Maelise Blosse
• Blossom Dental Excellence, Inc
• Blossom Hill Dental Clinic

• Behavior Analyst in San Jose, CA
• Providers in San Jose, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.