BLOOM ABA (NPI# 1346865979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346865979 |
| Entity Type | Organization |
| Organization Name | BLOOM ABA |
| Practice Address |
2326 Oak Flat Rd San Jose CA 95131-1929 |
| Practice Telephone | 4084409362 |
| Mailing Telephone | 4084409362 |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2020-06-11 |
| Authorized Official Name | CINDY ELIZABETH HADDOCK (BCBA) |
| Authorized Official Telephone | 4084409362 |
| Authorized Official Credential | MED |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
2326 OAK FLAT RD |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95131-1929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346881489 | Herbal Lands Inc | Acupuncturist | 2485 Autumnvale Dr, Ste D, San Jose, CA 95131 | 2019-09-30 |
| 1194373340 | Leylard Santos Caballes | Home Health Aide | 2272 Zoria Circle, San Jose, CA 95131 | 2019-08-30 |
| 1851953848 | Nu Herbal House | Chiropractor | 2092 Concourse Dr #85, San Jose, CA 95131 | 2019-07-01 |
| 1316417900 | Peter Cellarius | Behavior Technician | 2010 N. First St. Ste 402, San Jose, CA 95131 | 2018-11-27 |
| 1285103697 | Connie Bustillo | Case Manager/Care Coordinator | 1356 Ridder Park Drive, San Jose, CA 95131 | 2018-11-14 |
| 1831692722 | Nicholas Jordon Thompson | Counselor | 2218 North First Street, San Jose, CA 95131 | 2018-03-16 |
| 1376072637 | Lee's Care Home | Assisted Living Facility | 5225 Gallant Fox Avenue, San Jose, CA 95131 | 2017-06-08 |
| 1972984649 | Maria De La Luz Gonzalez | Counselor | 1885 Lundy Ave. Suite 223, San Jose, CA 95131 | 2015-06-17 |
| 1720470412 | Bridget Martinez | Physical Therapist | 1172 Murphy Ave #227, San Jose, CA 95131 | 2015-03-04 |
| 1609275593 | Cheryl Lozano | Community Health Worker | 1885 Lundy Ave, Ste 223, San Jose, CA 95131 | 2014-08-18 |
| Find all providers in zip 95131 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194332049 | B Is for Butterfly | Behavioral Analyst | 1314 Bilbo Ct, San Jose, CA 95121-2402 | 2020-09-24 |
| 1942816673 | Christian Jose Antonio Carrillo | Behavioral Analyst | 2420 Klein Rd, San Jose, CA 95148-1801 | 2020-09-17 |
| 1770193146 | Melissa Leon Sierra | Behavioral Analyst | 2146 Pacina Dr, San Jose, CA 95116-3647 | 2020-07-31 |
| 1215552435 | Jaime Kim | Behavioral Analyst | 1494 Hamilton Ave, San Jose, CA 95125-4535 | 2020-06-12 |
| 1760018907 | Vanessa Parker | Behavioral Analyst | 2895 Old Almaden Rd Apt 12, San Jose, CA 95125-4236 | 2020-03-19 |
| 1326673104 | Roque Leon | Behavioral Analyst | 576 S 5th St Apt 18, San Jose, CA 95112-5649 | 2020-03-11 |
| 1881234482 | Silvia Maria Pinto | Behavioral Analyst | 2007 W Hedding St Ste 214, San Jose, CA 95128-1428 | 2020-01-10 |
| 1376182717 | Serena Richardson | Behavioral Analyst | 2007 W Hedding St Ste 201, San Jose, CA 95128-1428 | 2020-01-02 |
| 1205479409 | Jennifer Hunter | Behavioral Analyst | 223 Birch Ridge Cir, San Jose, CA 95123-2655 | 2019-10-21 |
| 1982246732 | Parvati Badoni | Behavioral Analyst | 3280 Rocky Mountain Dr, San Jose, CA 95127-4747 | 2019-10-14 |
| Find all providers in SAN JOSE | ||||
Please comment or provide details below to improve the information on BLOOM ABA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.