Blossom Behavioral Concepts

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BLOSSOM BEHAVIORAL CONCEPTS

Practice address

15 Wagon Wheel Dr
Sicklerville, NJ 08081-4802

Phone

(856) 562-0800

NPI assigned

Sep 12, 2025

Organization subpart

No

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

Authorized official

Name

Diane Rogbeer-Ortiz, MS, MBA, RBT

Title

Owner

Phone

(856) 562-0800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1757635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1689545816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 WAGON WHEEL DR",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080814802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 WAGON WHEEL DR",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080814802",
            "telephone_number": "856-562-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM BEHAVIORAL CONCEPTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-12",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A",
        "authorized_official_last_name": "ROGBEER-ORTIZ",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-562-0800",
        "authorized_official_credential": "MS, MBA, RBT"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Sicklerville, NJ
• Providers in Sicklerville, NJ by specialty
• Behavior Analyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; 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.