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

Blossum Developmental Solutions, LLC

Organization Behavior Technician · NPI 1003613241

Blossum Developmental Solutions, LLC is a Behavior Technician in West New York, New Jersey. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
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

5016 Bergenline Ave Unit 2
West New York, NJ 07093-5522
Phone: (856) 383-6253
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1003613241
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jamal Stephens — Ceo · (856) 383-6253
NPI enumeratedFebruary 26, 2025
Last updated in NPPESFebruary 26, 2025
Certification dateFebruary 26, 2025
Mailing address5016 Bergenline Ave Unit 2, West New York, NJ 07093-5522

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