Organization Active NPI

Neurobloom Development Center Inc

  • Behavior Analyst
  • Claremont, CA
National Provider Identifier
1972440832
Registry record updated May 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
NEUROBLOOM DEVELOPMENT CENTER INC
Practice address
201 W 4TH St Ste 102
Claremont, CA 91711-4707
Phone
(213) 507-1597
NPI assigned
Apr 30, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2026

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

Authorized official

Name
Betty Tia-Conger, M.A., B.C.B.A.NPI 1487929964
Title
Owner/Bcba
Phone
(213) 507-1597

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

201 W 4TH St Ste 102
Claremont, CA 91711-4707

Mailing address

2209 E Baseline Rd Ste 300-351
Claremont, CA 91711-7901
Phone (213) 507-1597

National Provider Directory

National Provider Directory

Locations

201 W 4th St
Ste 102
Claremont, CA 91711
Phone (213) 507-1597

2209 E Baseline Rd
Ste 300351
Claremont, CA 91711

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1777507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779667200000",
    "number": "1972440832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 E BASELINE RD STE 300-351",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917117901",
            "telephone_number": "213-507-1597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W 4TH ST STE 102",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114707",
            "telephone_number": "213-507-1597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROBLOOM DEVELOPMENT CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-30",
        "last_updated": "2026-05-25",
        "certification_date": "2026-05-25",
        "status": "A",
        "authorized_official_last_name": "TIA-CONGER",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "OWNER/BCBA",
        "authorized_official_telephone_number": "213-507-1597",
        "authorized_official_credential": "M.A., B.C.B.A."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.