Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Bloom Behavior Therapy LLC

Organization Behavior Analyst · NPI 1770853939

Bloom Behavior Therapy LLC provides Behavior Analyst services 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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