Active NPI
Amanda Bloom, BCBA
- Behavior Analyst
- Coral Springs, FL
National Provider Identifier
1518251925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-13-14404
- Practice address
- 3671 Turtle Run Blvd
Apt. 1331
Coral Springs, FL 33067-4213 - Phone
- (954) 856-6926
- NPI assigned
- Jun 2, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-13-14404 | FL | Primary |
Addresses
Primary practice location
3671 Turtle Run Blvd
Apt. 1331
Coral Springs, FL 33067-4213
Mailing address
3671 Turtle Run Blvd
Apt. 1331
Coral Springs, FL 33067-4213
Phone (954) 856-6926
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425945600000",
"number": "1518251925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3671 TURTLE RUN BLVD",
"address_2": "APT. 1331",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330674213",
"telephone_number": "954-856-6926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3671 TURTLE RUN BLVD",
"address_2": "APT. 1331",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330674213",
"telephone_number": "954-856-6926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOOM",
"first_name": "AMANDA",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-02",
"last_updated": "2015-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-13-14404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coral Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.