Blooming Forward ABA LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BLOOMING FORWARD ABA LLC

Practice address

650 Fullier Cir SW
Atlanta, GA 30331-7993

Phone

(404) 664-9406

NPI assigned

Dec 30, 2025

Organization subpart

No

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

Authorized official

Name

Equence Bynum, BCBANPI 1194412189

Title

Board T Certified Behavior an

Phone

(404) 664-9406

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.

• Equence Nicole Bynum, MED, BCBA

  • Behavior Analyst
  • Atlanta, GA
  • NPI 1194412189
  NPD Authorized official

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

{
    "created_epoch": "1767052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767052800000",
    "number": "1801752134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 FULLIER CIR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303317993",
            "telephone_number": "404-664-9406",
            "fax_number": "404-664-9406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 FULLIER CIR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303317993",
            "telephone_number": "404-664-9406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMING FORWARD ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-30",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A",
        "authorized_official_last_name": "BYNUM",
        "authorized_official_first_name": "EQUENCE",
        "authorized_official_title_or_position": "BOARD T CERTIFIED BEHAVIOR AN",
        "authorized_official_telephone_number": "404-664-9406",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ingrid B Bloom, MD
• Jennifer Ann Bloom, RN
• Lauren Dufour Bloom, MD
• Michael M Bloom, O.D.
• Blooming Care in-Home Care Services
• Blossom ABA Therapy LLC
• Cameron Nichole Blount
• India Blount
• Nakesha F Blount
• Ray Blount, LNMT

• Community/Behavioral Health Agency in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.