Active NPIOrganization

Bloom Support Services, LLC

Behavior Analyst in Bend, Oregon

NPI Number1093512519
Practice location
63156 Lancaster St, Bend, OR 97701-7066
Fax
—
Last updated
June 13, 2025

Bloom Support Services, LLC is a healthcare organization based in Bend, OR. Bloom Support Services, LLC practices in Bend, OR. The NPI Number for Bloom Support Services, LLC is 1093512519. The current practice location address for Bloom Support Services, LLC is 63156 Lancaster St, Bend, OR 97701-7066 and can be reached out via phone at 541-728-3811.

Provider Profile Details

NPI Number
1093512519
Provider Name
Bloom Support Services, LLC
Provider Entity Type
Organization
Address
63156 Lancaster St, Bend, OR 97701-7066
Phone Number
541-728-3811
Primary Taxonomy
Behavior Analyst · 103K00000X
Organization Subpart
No
Authorized Official
Alexandra Vanderheid-Nye, MA, BCBA, LBA · Owner · 541-728-3811
Other Names
Bloom Support Services (Doing Business As)
Provider Enumeration Date
March 3, 2025
Last Update Date
June 13, 2025
Certification Date
June 13, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
63156 Lancaster St
Bend, OR 97701-7066
City
Bend
State
Oregon
Zip
97701-7066
Phone Number
541-728-3811
Bend, OR 97701Get directions →

Provider Business Mailing Address Details

Address
63156 Lancaster St
Bend, OR 97701-7066
City
Bend
State
OR
Zip
97701-7066
Phone Number
541-728-3811

License Information

Taxonomy (1)
Behavior Technician · 106S00000X
Taxonomy (2)
Behavior Analyst · 103K00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Bloom Support Services, LLC?

The NPI number of Bloom Support Services, LLC is 1093512519. It was assigned on March 3, 2025 and is currently active in the NPPES registry.

What is the specialty of Bloom Support Services, LLC?

Bloom Support Services, LLC is registered under the primary taxonomy Behavior Analyst (code 103K00000X).

Where does Bloom Support Services, LLC practice?

The practice location is 63156 Lancaster St, Bend, OR 97701-7066. The office can be reached at 541-728-3811 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093512519 directly on the NPPES registry website.

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