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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BLOOM ABA
NPI 1407546476
Behavior Analyst in Goose Creek, SC

Active since May 11, 2023
409 CLARINE DR, GOOSE CREEK, SC 29445(336) 918-6033 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 16, 2026, May 11, 2023 (2 updates tracked since 2023).

About Bloom Aba NPPES

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

BLOOM ABA (NPI 1407546476) is a healthcare organization registered as a behavior analyst in Goose Creek, South Carolina and active in the NPI registry since May 2023. The organization lists Breannah Davis-bloom, Owner Operator, as its authorized official.

NPPES Registry Identity

NPI1407546476
Entity TypeOrganization
Primary Taxonomy103K00000X
Legal Business NameBLOOM ABA
Location Address409 CLARINE DRGoose Creek, SC 29445-3628
Mailing Address78 Folly Road Blvd Ste B9Charleston, SC 29407-7551
Phone(336) 918-6033
Organization SubpartNo
Authorized OfficialBreannah Davis-bloomOwner Operator · (336) 918-6033
Enumeration DateMay 11, 2023
Last NPPES UpdateJuly 16, 20262 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
✔ NPI 1407546476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Definition
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.
409 CLARINE DR, Goose Creek, SC 29445
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Bloom Aba's NPI number?

The NPI number for Bloom Aba is 1407546476. It was assigned to this organization in the NPPES registry on May 11, 2023.

Where is Bloom Aba located?

Bloom Aba is located at 409 Clarine Dr, Goose Creek, SC 29445. The listed phone number is (336) 918-6033.

What is Bloom Aba's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Bloom Aba was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.