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

Keilan Blossom

Individual provider Assistant Behavior Analyst · NPI 1407747991

Keilan Blossom is an Assistant Behavior Analyst in Birmingham, Alabama. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1116 20th St S
Birmingham, AL 35205-2612
Phone: (855) 832-6727
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assistant Behavior Analyst (primary) Taxonomy 106E00000X

Record details

NPI number1407747991
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 12, 2025
Last updated in NPPESJuly 12, 2025
Certification dateJuly 11, 2025
Mailing address7108 S Kanner Hwy, Stuart, FL 34997-7462

Other providers in Birmingham