Organization Active NPI

Bloom Behavioral Treatment Inc

  • Behavior Analyst
  • Glendale, CA
National Provider Identifier
1801719083
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BLOOM BEHAVIORAL TREATMENT INC
Practice address
450 N Brand Blvd Ste 600
Glendale, CA 91203-2349
Phone
(818) 794-9995
Fax
(323) 784-8059
NPI assigned
Aug 3, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Authorized official

Name
Inna Alaverdyan
Title
President
Phone
(818) 794-9995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

450 N Brand Blvd Ste 600
Glendale, CA 91203-2349

Mailing address

450 N Brand Blvd Ste 600
Glendale, CA 91203-2349

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1785715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1801719083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 N BRAND BLVD STE 600",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N BRAND BLVD STE 600",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032349",
            "telephone_number": "818-794-9995",
            "fax_number": "323-784-8059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM BEHAVIORAL TREATMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-03",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "ALAVERDYAN",
        "authorized_official_first_name": "INNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-794-9995"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.