BLOSSOM BEHAVIORAL SERVICES - NPI 1447753082 - Behavior Analyst in Newport News, VA

Q: What is Blossom Behavioral Services's NPI number?

The NPI number for Blossom Behavioral Services is 1447753082. It was assigned to this organization in the NPPES registry on March 9, 2018.

Q: What is Blossom Behavioral Services's specialty?

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

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About Blossom Behavioral Services NPPES

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

BLOSSOM BEHAVIORAL SERVICES (NPI 1447753082) is a healthcare organization registered as a behavior analyst in Newport News, Virginia and active in the NPI registry since March 2018. The organization maintains a secondary practice location in Newport News and lists Kathryn Fitterer, Owner, as its authorized official.

NPPES Registry Identity

NPI1447753082

Entity TypeOrganization

Primary Taxonomy103K00000X

Legal Business NameBLOSSOM BEHAVIORAL SERVICES

Location Address763 J CLYDE MORRIS BLVD STE 1CNewport News, VA 23601-1533

Mailing Address763 J Clyde Morris Blvd Ste 1cNewport News, VA 23601-1533

Phone(757) 524-2510

Organization SubpartNo

Authorized OfficialKathryn FittererOwner · (757) 524-2510

Enumeration DateMarch 9, 2018

Last NPPES UpdateApril 15, 20213 updates tracked since enumeration

NPPES CertifiedApril 15, 2021

✔ NPI 1447753082 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.

763 J CLYDE MORRIS BLVD STE 1C, Newport News, VA 23601

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Secondary Practice Location 1

Location 18 San Jose DrNewport News, VA 23606 · Phone (757) 524-2510

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

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHRYN LYNN BROCK RBT

Behavior Analyst