Blossom ABA Therapy Ok LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BLOSSOM ABA THERAPY OK LLC

Practice address

201 Robert S Kerr Ave
Oklahoma City, OK 73102-4223

Phone

(857) 327-5283

NPI assigned

Feb 14, 2024

Organization subpart

No

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

Authorized official

Name

Chad Kaufman

Title

Ceo

Phone

(917) 538-7239

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747612800000",
    "number": "1700641206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 ROBERT S KERR AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731024223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 ROBERT S KERR AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731024223",
            "telephone_number": "857-327-5283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM ABA THERAPY OK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-14",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-538-7239"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bloom Mental Health and Wellness Clinic
• Bloom Pediatric Speech LLC
• Paula Jean Bloom, RN IBCLC RLC
• Kristian Chase Bloomer
• Rebecca Bloomgarden, LCSW
• Joseph Arden Blough, M.D.
• Alan Craig Blount Jr., BHRS
• Rachel Elizabeth Blount, BHRS
• Samuel Blount
• Ryan Thomas Blucker

• Behavior Analyst in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Behavior Analyst in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.