Bloom Behavioral Connections LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BLOOM BEHAVIORAL CONNECTIONS LLC

Practice address

312 S Chadwick St # 2R
Philadelphia, PA 19103-6706

Phone

(267) 467-6599

Fax

(213) 603-4381

NPI assigned

Jun 24, 2022

Last updated

Mar 23, 2026By 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

Dana Sullivan, BCBANPI 1023583127

Title

Owner

Phone

(732) 453-4772

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Dana Marie Sullivan, M.A., BCBA

  • Behavior Analyst
  • Philadelphia, PA
  • NPI 1023583127
  NPD Authorized official
• Kaitlin Walczak, M.A., BCBA

  • Behavior Analyst
  • Newtown, PA
  • NPI 1740679638
  NPD

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

{
    "created_epoch": "1656028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774224000000",
    "number": "1902538333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 S CHADWICK ST # 2R",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191036706",
            "telephone_number": "732-453-4772",
            "fax_number": "213-603-4381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 S CHADWICK ST # 2R",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191036706",
            "telephone_number": "267-467-6599",
            "fax_number": "213-603-4381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM BEHAVIORAL CONNECTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-24",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-453-4772",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie L Block
• Michael William Block
• Amber Blocker
• Dara Blomain, MPH, RD, LDN
• Alexandra Kerrin Blomfield, MD
• Bloom Eye Associates, LTD.
• Anita R Bloom, MA, FAAA
• Benjamin Harris Bloom, M.D.
• Eric J Bloom, MD
• Joyce M Bloom, CRNA

• Behavior Analyst in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Behavior Analyst in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.