Blooming Behavior Therapy LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BLOOMING BEHAVIOR THERAPY LLC

Practice address

43 Barkley Cir Ste 101
Fort Myers, FL 33907-7517

Phone

(239) 800-9289

NPI assigned

Jun 28, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ana Laura Trujillo

Title

Owner

Phone

(857) 247-1006

Specialties & licenses 3

Addresses

Other identifiers 1

Tax ID family

Blooming Behavior Therapy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Blooming Behavior Therapy LLC

  • Behavior Analyst
  • Winter Park, FL
  • NPI 1083567127
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nathalie Pie, BCBA

  • Behavior Analyst
  • Cape Coral, FL
  • NPI 1609270867
  NPD (past)

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1427780402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 BARKLEY CIR STE 101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339077517",
            "telephone_number": "239-800-9289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 BARKLEY CIR STE 101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339077517",
            "telephone_number": "239-800-9289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 Orange Ave",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327894945",
            "country_code": "US",
            "telephone_number": "239-800-9289",
            "fax_number": "239-800-1953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLOOMING BEHAVIOR THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-28",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A",
        "authorized_official_last_name": "TRUJILLO",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "857-247-1006"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114740200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karissa Blocker
• Katelyn June Blohm, PA-C
• Melissa Brauner Blom, MD
• Chad Alan Blomquist, LMT
• Sharon E Bloom, PSYD
• Paul Mark Bloomston, MD
• Carl Henry Blot, D.C.
• Carrie Martinez Blount, LMHC
• John C Blower, CRNA
• Richard Lawrence Bloy, MD

• Behavior Analyst in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; 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.