BLOOM BEHAVIOR SERVICES
Behavior Technician

Address: 266 Ladera Ln, Washington, MO 63090-5763

BLOOM BEHAVIOR SERVICES (NPI# 1295329654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295329654
Entity Type Organization
Organization Name BLOOM BEHAVIOR SERVICES
Practice Address 266 Ladera Ln
Washington
MO 63090-5763
Practice Telephone 5734800440
Mailing Address 266 Ladera Ln
Washington
MO 63090-5763
Mailing Telephone 6364326709
Mailing Fax Number 6364321559
Certification Date 2021-03-26
Enumeration Date 2021-02-25
Last Update Date 2021-03-26
Authorized Official Telephone 5734800440
Authorized Official Credential BCBA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
N 106S00000X Behavior Technician 193400000X MULTIPLE SINGLE SPECIALTY GROUP Behavioral Health & Social Service Providers
Y 103K00000X Behavioral Analyst 193400000X MULTIPLE SINGLE SPECIALTY GROUP Behavioral Health & Social Service Providers

Office Location

Street Address 266 LADERA LN
City WASHINGTON
State MO
Zip Code 63090-5763

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053906826 Christine Michelle Bays Behavior Technician 266 Ladera Ln, Washington, MO 63090-5763 2021-03-04
1437697844 Sally Lavigne Behavioral Analyst 266 Ladera Ln, Washington, MO 63090-5763 2017-02-06

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1427635671 Julie Ann Novak-Eversole Behavior Technician 266 Landera Lane, Washington, MO 63090 2021-03-25
1831798792 Alicia Caroline Baker Nurse Practitioner · Family 1070 W 7th St, Washington, MO 63090 2020-10-21
1962975839 Jennifer Biermann Pharmacist 801 E 5th Street, Washington, MO 63090 2019-01-03
1487199733 Kristen Elaine Cleavelin · Kristen Elaine Williams Registered Nurse Mercy Convenient Care, 901 Patients First Drive, Washington, MO 63090 2016-12-22
1699146712 Washington Community Counseling Center Community/Behavioral Health 421 W. 5th Street, Suite 110, Washington, MO 63090 2015-10-15
1598002024 Americare At Vicotrian Manor of Washington, LLC · The Arbors of Vicotrian Place of Washington Assisted Living Facility 2701 Rabbit Trail Dr, Washington, MO 63090 2013-01-03
1578824116 Rhonda Ann Pepmiller Nurse Practitioner · Adult Health 851 E 5th St Ste 309, Washington, MO 63090 2012-05-30
1932486032 Julie Joanne Lynch Pharmacist 890 Country Corners, Washington, MO 63090 2011-11-03
1043590839 Laurie Elizabeth Bryson Counselor · Professional 102 Elm Street, Suite 204, Washington, MO 63090 2011-08-24
1164737490 Mohan Mallikarjuna Edupuganti · Mallik Edupuganti Internal Medicine · Interventional Cardiology 901 Patients First Dr Ste 2500, Washington, MO 63090 2010-08-11
Find all providers in zip 63090

Taxonomy Information

Taxonomy Code 106S00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavior Technician

Taxonomy Definition

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427635671 Julie Ann Novak-Eversole 266 Landera Lane, Washington, MO 63090 2021-03-25
1225613524 Paige Burton 320 Florida Ave Ne Apt 212, Washington, DC 20002-6898 2021-03-17
1740865203 Miracle Darsheya Henderson 106 Galveston St Sw Apt 201, Washington, DC 20032-1121 2021-03-16
1053906826 Christine Michelle Bays 266 Ladera Ln, Washington, MO 63090-5763 2021-03-04
1114520343 Melanie Butman 1200 G Street Nw, Suite 800, Washington, DC 20005 2020-11-19
1144827692 Nicole Dedenbach 62452 Schoenherr Rd, Washington, MI 48094-1727 2020-10-07
1013514983 Danielle Carlos 1050 Connecticut Ave Nw Ste 500, Washington, DC 20036-5304 2020-10-05
1811504756 Christina Marie Sands 1112 42nd St Ne, Washington, DC 20019-1909 2020-09-24
1992311724 Anna Maureen Sheridan 3217 Northampton St Nw, Washington, DC 20015-1650 2020-09-17
1699389437 Aliyyah Joyner 3411 24th St Ne, Washington, DC 20018-2951 2020-08-31
Find all providers in WASHINGTON

Competitor

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City WASHINGTON
Zip Code 63090

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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