Bloom Beautifully, PLLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BLOOM BEAUTIFULLY, PLLC

Practice address

1075 Bellows Way
Volo, IL 60073-8176

Phone

(224) 201-6072

NPI assigned

Oct 5, 2026

Last updated

Oct 5, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sara C Otto, MA, BCBA, LBANPI 1396219705

Title

Owner

Phone

(224) 201-6072

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sara Christine Otto, BCBA

  • Behavior Analyst
  • Concord, CA
  • NPI 1396219705
  Authorized official Same address or phone

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

{
    "created_epoch": "1791158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1760386593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 BELLOWS WAY",
            "city": "VOLO",
            "state": "IL",
            "postal_code": "600738176",
            "telephone_number": "224-201-6072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 BELLOWS WAY",
            "city": "VOLO",
            "state": "IL",
            "postal_code": "600738176",
            "telephone_number": "224-201-6072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM BEAUTIFULLY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A",
        "authorized_official_last_name": "OTTO",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-201-6072",
        "authorized_official_credential": "MA, BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adina Ackerman
• Patty J Anderson, PTA
• Avaldeep K Aulakh, AA
• Stephanie Rae Barkemeyer, LCSW
• Leslie Brankin, PSY.D.
• Evelyn Gisselle Chicas
• Collaborative Roots Counseling, LLC
• Rachel Hannah Day, LCSW
• Delta Health Alliance LLC

• Behavior Analyst in Volo, IL
• Providers in Volo, IL by specialty
• Behavior Analyst in Illinois

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