Bloom ABA
Organization Active NPI Behavior Analyst · Goose Creek, SC
NPI 1407546476 · NPPES record last updated Jul 16, 2026
Key facts
- NPI
- 1407546476
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Behavior Analyst 103K00000X
- Legal business name
- BLOOM ABA
- Practice address
- 409 Clarine Dr
Goose Creek, SC 29445-3628 - Phone
- (336) 918-6033
- NPI assigned
- May 11, 2023
- Organization subpart
- No
Authorized official
- Name
- Dr. Breannah Davis-Bloom, EDD
- Title
- Owner Operator
- Phone
- (336) 918-6033
Practitioners 1
-
Breannah Katrice Davis-Bloom, BCBA, LBA
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst |
103K00000X | Yes |
Addresses
Primary practice location
409 Clarine Dr
Goose Creek, SC 29445-3628
Mailing address
78 Folly Road Blvd Ste B9
Charleston, SC 29407-7551
Other providers in Goose Creek, SC
- Berkeley County School Distsrict
- Scott H Berry
- Cynthia Marie Biondo
- Marisa Jane Biro
- John Parker Blalock-Cornwel
- Pernia Bobo-Mitchell
- Barbara Anne Boland
- Skylar Rose Bombardier
- Michelle Bonk
- Julee L Boring
All providers in Goose Creek, SC · Behavior Analyst in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.