Organization Active NPI

Blooming Hearts ABA LLC

  • Behavior Analyst
  • Naperville, IL
National Provider Identifier
1639021272
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BLOOMING HEARTS ABA LLC
Practice address
4425 Montgomery Rd Ste 102
Naperville, IL 60564-9542
Phone
(331) 666-2117
NPI assigned
Feb 13, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Authorized official

Name
Mr. Muhammad Asim S Khan
Title
Ceo
Phone
(331) 666-2117

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary
Clinic/Center 261Q00000X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

4425 Montgomery Rd Ste 102
Naperville, IL 60564-9542

Mailing address

4425 Montgomery Rd Ste 102
Naperville, IL 60564-9542

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1770940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780617600000",
    "number": "1639021272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 MONTGOMERY RD STE 102",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605649542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 MONTGOMERY RD STE 102",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605649542",
            "telephone_number": "331-666-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMING HEARTS ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-13",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "ASIM S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "331-666-2117",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.