Bloom ABA

Primary specialty

Behavior AnalystTaxonomy code 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

Last updated

Jul 16, 2026By 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

Dr. Breannah Davis-Bloom, EDDNPI 1689259145

Title

Owner Operator

Phone

(336) 918-6033

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Breannah Katrice Davis-Bloom, BCBA, LBA

  • Behavior Analyst
  • Charleston, SC
  • NPI 1689259145
  NPD Authorized official

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

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1407546476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 FOLLY ROAD BLVD STE B9",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 CLARINE DR",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294453628",
            "telephone_number": "336-918-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM ABA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-11",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "DAVIS-BLOOM",
        "authorized_official_first_name": "BREANNAH",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "336-918-6033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Berkeley County School Distsrict
• Scott H Berry, PSYD
• Cynthia Marie Biondo, LPN
• Marisa Jane Biro, SLP
• John Parker Blalock-Cornwel, LPN, CRCFA, ALCA
• Pernia Bobo-Mitchell, RRT
• Barbara Anne Boland, LPC
• Skylar Rose Bombardier
• Michelle Bonk, PTA
• Julee L Boring, RN

• Behavior Analyst in Goose Creek, SC
• Providers in Goose Creek, SC by specialty
• Behavior Analyst in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.