Blooming Mind Behavioral Services LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BLOOMING MIND BEHAVIORAL SERVICES LLC

Practice address

1461 E Cooley Dr Ste 185
Colton, CA 92324-3983

Phone

(909) 850-4651

Fax

(909) 850-4820

NPI assigned

Jan 5, 2022

Last updated

Aug 22, 2023By 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

Dr. Elizabeth Garcia, BCBA, PSYDNPI 1295259091

Title

Ceo

Phone

(760) 277-5192

Specialties & licenses 1

Addresses

Locations

Practitioners 5

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.

• Elizabeth Garcia

  • Behavior Analyst
  • Victorville, CA
  • NPI 1295259091
  NPD Authorized official
• Aurora Cortez

  • Behavior Analyst
  • Los Angeles, CA
  • NPI 1699312199
  NPD
• Stacy Olney, BCBA 1-21-55585

  • Behavior Analyst
  • Colton, CA
  • NPI 1417473257
  NPD
• Desirae M Galaviz

  • Assistant Behavior Analyst
  • Los Angeles, CA
  • NPI 1093373227
  NPD (past)
• Hannah Maria Pou

  • Behavior Technician
  • Colton, CA
  • NPI 1255051785
  NPD (past)

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1871254417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1461 E COOLEY DR STE 185",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243983",
            "telephone_number": "909-850-4651",
            "fax_number": "909-850-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1461 E COOLEY DR STE 185",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243983",
            "telephone_number": "909-850-4651",
            "fax_number": "909-850-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMING MIND BEHAVIORAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-05",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-277-5192",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BCBA, PSYD"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Ann Bland
• Hevin Alese Blankenship
• Christopher L Blanton, MD
• Donna Lorraine Blanton, FACT
• Nancy Blasy
• Blue Star Medical Transportation LLC.
• Bluestone Laboratories
• Haley Boggs
• Heather Bohn, DO
• Wilhelmina Bollozos

• Behavior Analyst in Colton, CA
• Providers in Colton, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.