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Active NPI 1407747991 Individual Practitioner Male Practitioner

Keilan Blossom

Assistant Behavior Analyst • Birmingham, AL

Professional Overview & Biography Verified Profile Summary

Keilan Blossom is a registered healthcare professional specializing in Assistant Behavior Analyst in Birmingham, AL. Practice services are available at 1116 20TH ST S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1116 20th St S

Birmingham, AL 352052612

Telephone 8558326727
Associated Practice Facility / Clinic
🏢 Positive Behavior Supports Facility NPI 1700024296

Specialty Benchmarks & Practice Insights

Comparative analytics for Assistant Behavior Analyst in Birmingham, AL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
19 Specialists

Practicing in Birmingham, AL (121 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-07-11
Assistant Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 106E00000X

An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Korie Hendrix

Behavior Analyst

NPI 1003103987
NPI 1003125576

Board Certified Behavior Analyst

Ana Reyes

Technician, Other

NPI 1003203241
Josephine Potter

Technician, Other

NPI 1003205220
Larhonda Callier

Technician, Other

NPI 1003207721
Maria Zelaya Castillo

Technician, Other

NPI 1003216722

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 12, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location July 12, 2025

Registered at 1116 20TH ST S, BIRMINGHAM, AL 352052612 (Tel: 8558326727)

📍
Updated Business Mailing Address July 12, 2025

Registered at 7108 S KANNER HWY, STUART, FL 349977462

👤
Provider Name / Credentials Updated July 12, 2025

Recorded as KEILAN BLOSSOM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2025

Assistant Behavior Analyst

🟢
Initial NPI Registration & Enumeration July 12, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407747991
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2025
Last Update: July 12, 2025
Sole Proprietor: No

Mailing Address

7108 S Kanner Hwy

Stuart, FL 349977462

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.