Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bloom Behavior Therapy LLC

Organization Behavior Analyst · NPI 1770853939

Bloom Behavior Therapy LLC is a Behavior Analyst in Paducah, Kentucky. Licensed in Kentucky. Registered with an NPI since 2012.

Licensed in
KY
In the registry since
2012
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6201 Benton Rd
Paducah, KY 42003-1304
Phone: (270) 908-0461
Fax: (270) 366-0780
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X · Licence 800217 (KY)
Behavior Analyst Taxonomy 103K00000X · Licence KY-0016 (KY)
Developmentally Disabled Services Day Training Agency Taxonomy 251C00000X

Record details

NPI number1770853939
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Becky Nastally — Owner · (270) 908-0461
NPI enumeratedJanuary 5, 2012
Last updated in NPPESJuly 8, 2021
Certification dateJuly 8, 2021
Mailing address6201 Benton Rd, Paducah, KY 42003-1304

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