OrganizationActive
Behavior Bloom
NPI 1255092714 · Developmental Disabilities Clinic/Center · Stanford, CA
Provider details
- NPI number
- 1255092714
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Samantha Minerd, Owner, Bcba(440) 821-8375
Specialties & taxonomies
Ambulatory Health Care Facilities
- Case Management Agency251B00000X
Agencies
- Community/Behavioral Health Agency251S00000X
Agencies
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
680 Jane Stanford Way # C184
Stanford, CA 94305-7313
Phone: (440) 821-8375
Approximate (ZIP-level) locationGet directions
Mailing address
2158 Williams St
Palo Alto, CA 94306-1416
Registry dates
- Enumerated
- 2022-01-06
- Last updated
- 2022-07-15
- Certified
- 2022-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.