BEHAVIOR BLOOM
NPI 1255092714
Clinic/Center - Developmental Disabilities in Stanford, CA

Active since January 06, 2022
680 JANE STANFORD WAY # C184, STANFORD, CA 94305(440) 821-8375 Get Directions Write a Review

NPPES record last updated: July 15, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 15, 2022, Jan 6, 2022 (2 updates tracked since 2022).

About Behavior Bloom NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEHAVIOR BLOOM (NPI 1255092714) is a healthcare organization registered as a developmental disabilities in Stanford, California and active in the NPI registry since January 2022. The organization lists Samantha Minerd, Owner, Bcba, as its authorized official.

NPPES Registry Identity

NPI1255092714
Entity TypeOrganization
Primary Taxonomy261QD1600X
Legal Business NameBEHAVIOR BLOOM
Location Address680 JANE STANFORD WAY # C184Stanford, CA 94305-7313
Mailing Address2158 Williams StPalo Alto, CA 94306-1416 · (440) 821-8375
Organization SubpartNo
Authorized OfficialSamantha MinerdOwner, Bcba · (440) 821-8375
Enumeration DateJanuary 6, 2022
Last NPPES UpdateJuly 15, 20222 updates tracked since enumeration
NPPES CertifiedJuly 15, 2022
NPI 1255092714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities
Taxonomy Code261QD1600X
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
680 JANE STANFORD WAY # C184, Stanford, CA 94305

Other Identifiers 1

Other1659875367CA · Applied Behavior Analysis

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Behavior Bloom's NPI number?

The NPI number for Behavior Bloom is 1255092714. It was assigned to this organization in the NPPES registry on January 6, 2022.

Where is Behavior Bloom located?

Behavior Bloom is located at 680 Jane Stanford Way # C184, Stanford, CA 94305. The listed phone number is (440) 821-8375.

What is Behavior Bloom's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Behavior Bloom was last updated on July 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.