MEDICARE: BLOOMING CHILD DEVELOPMENT

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	106E00000X	Assistant Behavior Analyst
2	106S00000X	Behavior Technician
3	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1881383057
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLOOMING CHILD DEVELOPMENT

Provider Business Mailing Address
First Line	:	8901 BURTON WAY APT 401
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-3787
Country	:	US
Telephone Number	:	310-927-0126
Fax Number	:

Provider Business Practice Location Address
First Line	:	1049 S FAIRFAX AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90019-4402
Country	:	US
Telephone Number	:	310-927-0126
Fax Number	:	310-362-8943

Authorized Official
Title or Position	:	OWNER
Name	:	ABBY ABERASH TEKIE
Credential	:	BCBA
Telephone Number	:	310-634-4444

Provider Enumeration Date	:	05/03/2023
Last Update Date	:	10/30/2025

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Directions to “BLOOMING CHILD DEVELOPMENT ” Practice Location

Language	Start Address	Practice Location

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