Blossoming Minds Services LLC
Behavior Analyst in Elmont, NY. Organization (NPI-2).
NPI number1336055052
StatusActive
Last updated in NPPESAug 31, 2026
Details
- NPI
- 1336055052
- Entity type
- Organization (NPI-2)
- Legal business name
- Blossoming Minds Services LLC
- Organization subpart
- No
- Enumeration date
- Aug 21, 2026
- Certification date
- Aug 31, 2026
- Last updated
- Aug 31, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
| 101Y00000X | Counselor | – | – |
Practice location
115 Flint PlElmont, NY 11003-3613
Phone 917-325-7342
Mailing address
115 Flint PlElmont, NY 11003-3613
Phone 917-325-7342
Authorized official
Edwouine Fleury- Swift
Special Instructor/Aba Provider
9173257342
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