Blossom Spectrum Services LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BLOSSOM SPECTRUM SERVICES LLC

Practice address

25845 Railroad Ave Ste 5
Santa Clarita, CA 91350-2548

Phone

(661) 733-0490

Fax

(888) 876-2134

NPI assigned

Jul 20, 2018

Organization subpart

No

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

Authorized official

Name

April Wyatt, BCBA

Title

Behavior Analyst

Phone

(661) 733-0490

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544054400000",
    "number": "1740767912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25845 RAILROAD AVE STE 5",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913502548",
            "telephone_number": "661-733-0490",
            "fax_number": "888-876-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25845 RAILROAD AVE STE 5",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913502548",
            "telephone_number": "661-733-0490",
            "fax_number": "888-876-2134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28166 Tambora Dr",
            "address_purpose": "LOCATION",
            "city": "Canyon Country",
            "state": "CA",
            "postal_code": "913511261",
            "country_code": "US",
            "telephone_number": "661-733-0490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLOSSOM SPECTRUM SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-20",
        "last_updated": "2018-12-06",
        "status": "A",
        "authorized_official_last_name": "WYATT",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "661-733-0490",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander C Black, MD
• Andrew P Blackwood
• McKenna Blake
• Danielle Blanco
• George Lawrence Blankinship III, M.D.
• Taiwana Blount
• Blue Bird Hospice
• Arnold I Blumenfeld, PHD
• Kevin G Bolder, AU.D.
• Sofia Izabella Bonaventura

• Behavior Analyst in Santa Clarita, CA
• Providers in Santa Clarita, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; 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.