Organization · Type 2 NPI

Bloom Pediatric Therapy LLC

Behavior Analyst · Griffin, GA

NPI number 1619674124 Active

Practice location

14557 Highway 19 Ste C
Griffin, GA 30224-9582

Mailing address

136 Main St
Milner, GA 30257-3844

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000XNone listed
Physical Therapist 225100000XNone listed
Occupational Therapist 225X00000XNone listed
Speech-Language Pathologist 235Z00000XNone listed
Multi-Specialty Clinic/Center 261QM1300XNone listed

Behavior 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…

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About NPI 1619674124

Bloom Pediatric Therapy LLC's National Provider Identifier is 1619674124, issued on Feb 14, 2023. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Griffin, GA. The record was last updated on Mar 26, 2026.