MEDICARE: BLOOMING BEHAVIOR THERAPY LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1083567127
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLOOMING BEHAVIOR THERAPY LLC

Provider Business Mailing Address
First Line	:	43 BARKLEY CIR STE 101
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33907-7517
Country	:	US
Telephone Number	:	239-839-0323
Fax Number	:

Provider Business Practice Location Address
First Line	:	1350 ORANGE AVE STE 220
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32789-4945
Country	:	US
Telephone Number	:	239-800-9289
Fax Number	:	239-800-1953

Authorized Official
Title or Position	:	OWNER
Name	:	ANA L TRUJILLO
Credential	:
Telephone Number	:	239-839-0323

Provider Enumeration Date	:	02/18/2026
Last Update Date	:	02/18/2026

Similar Medicare Providers

1912926726 — MRS. DENISE ECKMAN ORNSTEIN M.S., LMHC
Practice Location Address:

1350 N ORANGE AVE , SUITE 223
WINTER PARK, FL
32789-4945

Practice Phone: 954-415-2042
Practice Fax: 407-622-1200

1013057637 — ALTERNATIVE DIRECTIONS
Practice Location Address:

1350 N ORANGE AVE , SUITE 296
WINTER PARK, FL
32789-4945

Practice Phone: 407-579-6009
Practice Fax: 407-622-1200

1326276064 — KRISTIN ELIZABETH SOLBERG LCSW
Practice Location Address:

1350 N ORANGE AVE , SUITE223
WINTER PARK, FL
32789-4945

Practice Phone: 407-644-4367
Practice Fax: 407-622-1200

1932410479 — TERRIE M DIMOS LMT
Practice Location Address:

1350 ORANGE AVE , SUITE 234
WINTER PARK, FL
32789-4945

Practice Phone: 407-834-8228
Practice Fax: 407-834-8228

1790091346 — BARBARA JO FULLER MS
Practice Location Address:

1350 N ORANGE AVE , SUITE 223
WINTER PARK, FL
32789-4945

Practice Phone: 407-644-4367
Practice Fax:

1407164965 — MR. MOSES AARON MAYLOR SR. M.A.
Practice Location Address:

1350 N ORANGE AVE , 223
WINTER PARK, FL
32789-4945

Practice Phone: 407-644-4367
Practice Fax: 407-622-1200

Directions to “BLOOMING BEHAVIOR THERAPY LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.