Brian Blaustein, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BCBA-1-25-83879 Issued in FL

Practice address

997 Atlantic Blvd
Atlantic Beach, FL 32233-3311

Phone

(904) 647-1849

NPI assigned

Jan 29, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bloom Behavioral Solutions

  • Multi-Specialty Clinic/Center
  • Atlantic Beach, FL
  • NPI 1780088609
  NPD
• Bloom Behavioral Solutions, Inc.

  • Multi-Specialty Clinic/Center
  • Atlantic Beach, FL
  • NPI 1881953347
  NPD
• Behavior Analysis Support Services, Inc

  • Behavior Analyst
  • Ocala, FL
  • NPI 1033855770
  NPD (past)

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

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756684800000",
    "number": "1760946263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 SW 75TH ST STE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326073425",
            "telephone_number": "352-332-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "997 ATLANTIC BLVD",
            "city": "ATLANTIC BEACH",
            "state": "FL",
            "postal_code": "322333311",
            "telephone_number": "904-647-1849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAUSTEIN",
        "first_name": "BRIAN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-29",
        "last_updated": "2025-09-01",
        "certification_date": "2025-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "BCBA-1-25-83879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "S",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robin M Barlow, A.P.
• D'Angela Bass
• Ashley Baughman, LMHC
• Tannis Beaudet, MSN, APRN, FNP-BC
• Ashton Berry
• Bloom Behavioral Solutions
• Bloom Behavioral Solutions, Inc.
• Lisabeth Boudreaux, RPH
• Amy Johanna Bouvier Poblenz, D.M.D., M.S.
• Meghan Braun, PT, DPT, MTC

• All providers in Atlantic Beach, FL
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.