Bloom Licensed Behavioral Analyst PLLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BLOOM LICENSED BEHAVIORAL ANALYST PLLC

Practice address

21 Grove St # 108
Spring Valley, NY 10977-4866

Phone

(845) 285-6626

NPI assigned

Aug 19, 2025

Organization subpart

No

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

Authorized official

Name

Chaim Goldberg, BCBA, LBANPI 1003405564

Title

Member

Phone

(845) 422-1958

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Chaim B Goldberg, BCBA

  • Behavior Analyst
  • Monsey, NY
  • NPI 1003405564
  NPD Authorized official

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

{
    "created_epoch": "1755561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774483200000",
    "number": "1497632608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 GROVE ST # 108",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109774866",
            "telephone_number": "845-285-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 GROVE ST # 108",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109774866",
            "telephone_number": "845-285-6626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM LICENSED BEHAVIORAL ANALYST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-19",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "CHAIM",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "845-422-1958",
        "authorized_official_credential": "BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esther H Birnbaum
• Stuart C Birnbaum, DPM
• Brentnee Blair
• Vaneasha Blathers
• Rachel Bloch
• Blossom Birth LLC
• Rivka R Bluming
• Jennifer Bofah
• Angelina Bonavita
• Robert Thomas Bonnett Jr., D.C.

• Behavior Analyst in Spring Valley, NY
• Providers in Spring Valley, NY by specialty
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.