NPIMap

Organization Active NPI

Blossom Applied Behavior Analysis Therapy P.L.L.C

  • Behavior Analyst
  • Buffalo, NY
National Provider Identifier
1477382174
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BLOSSOM APPLIED BEHAVIOR ANALYSIS THERAPY P.L.L.C
Practice address
115 Montrose Ave
Buffalo, NY 14214-1248
Phone
(716) 382-3585
Fax
(716) 758-4090
NPI assigned
Jul 31, 2024
Last updated
Feb 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Authorized official

Name
Tia PalmerNPI 1073006615
Title
Owner
Phone
(716) 253-0153

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

115 Montrose Ave
Buffalo, NY 14214-1248

Mailing address

115 Montrose Ave
Buffalo, NY 14214-1248

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 49

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.

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771891200000",
    "number": "1477382174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 MONTROSE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142141248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MONTROSE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142141248",
            "telephone_number": "716-382-3585",
            "fax_number": "716-758-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM APPLIED BEHAVIOR ANALYSIS THERAPY P.L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-31",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "TIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-253-0153"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.