NPIMap

Organization Active NPI

Blossoming Behavior, Applied Behavior Analysts LLC

  • Behavior Analyst
  • Valley Stream, NY
National Provider Identifier
1487219887
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BLOSSOMING BEHAVIOR, APPLIED BEHAVIOR ANALYSTS LLC
Practice address
61 7TH St
Valley Stream, NY 11581-1275
Phone
(516) 469-1415
NPI assigned
May 1, 2019
Last updated
May 1, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2019

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

Authorized official

Name
Dr. Stephanie G Augustin, ED.DNPI 1164802344
Title
Owner
Phone
(516) 469-1415

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

61 7TH St
Valley Stream, NY 11581-1275

Mailing address

3604 Ocean Ave Apt C2
East Rockaway, NY 11518-1565
Phone (516) 469-1415

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556668800000",
    "number": "1487219887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3604 OCEAN AVE APT C2",
            "city": "EAST ROCKAWAY",
            "state": "NY",
            "postal_code": "115181565",
            "telephone_number": "516-469-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 7TH ST",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115811275",
            "telephone_number": "516-469-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOMING BEHAVIOR, APPLIED BEHAVIOR ANALYSTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-01",
        "last_updated": "2019-05-01",
        "status": "A",
        "authorized_official_last_name": "AUGUSTIN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-469-1415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; 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.