MEDICARE: BLOOMING HEARTS ABA LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261Q00000X	Clinic/Center
2	261QM0855X	Adolescent and Children Mental Health Clinic/Center
3	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1639021272
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLOOMING HEARTS ABA LLC

Provider Business Mailing Address
First Line	:	3003 BENNETT DR
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60564-5176
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3003 BENNETT DR
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60564-5176
Country	:	US
Telephone Number	:	331-666-2117
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. MUHAMMAD ASIM S KHAN
Credential	:
Telephone Number	:	331-666-2117

Provider Enumeration Date	:	02/13/2026
Last Update Date	:	02/16/2026

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Directions to “BLOOMING HEARTS ABA LLC ” Practice Location

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