Blossom Minds LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BLOSSOM MINDS LLC

Practice address

2645 Executive Park Dr Ste 534
Weston, FL 33331-3624

Phone

(954) 512-4827

NPI assigned

Sep 26, 2022

Organization subpart

No

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

Authorized official

Name

Maria Corujo Feijoo, BCBA

Title

Clinical Director

Phone

(954) 512-4827

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1871217620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 EXECUTIVE PARK DR STE 534",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313624",
            "telephone_number": "954-512-4827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 EXECUTIVE PARK DR STE 534",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313624",
            "telephone_number": "954-512-4827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM MINDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "CORUJO FEIJOO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "954-512-4827",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164975355",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blane T Shatkin MD PA
• Paul Aaron Blankfeld, PTA
• Sandra Blet
• Stacey Blake Blicker
• Blooming Minds Psychology
• Blue Heart Solutions LLC
• Blueapplecare, LLC.
• Bluelife ABA Therapy LLC
• Bluelife for Kids ABA Services LLC
• Board Certified Behavior Analysts Group, Inc

• Behavior Analyst in Weston, FL
• Providers in Weston, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.