Elissa K Blom
Behavior Technician in Southborough, Massachusetts
1356131122- Practice location
- 333 Turnpike RD Ste 101, Southborough, MA 01772-1755
- Phone
- 508-970-6377
- Fax
- —
- Last updated
- May 7, 2025
Elissa Katherine Blom is a Behavior Technician based in Southborough, MA. Elissa Katherine Blom practices in Southborough, MA. The NPI Number for Elissa Katherine Blom is 1356131122. The current practice location address for Elissa Katherine Blom is 333 Turnpike RD Ste 101, Southborough, MA 01772-1755 and can be reached out via phone at 508-970-6377.
Provider Profile Details
- NPI Number
- 1356131122
- Provider Name
- Elissa Katherine Blom
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 333 Turnpike RD Ste 101, Southborough, MA 01772-1755
- Phone Number
- 508-970-6377
- Primary Taxonomy
- Behavior Technician · 106S00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 7, 2025
- Last Update Date
- May 7, 2025
- Certification Date
- May 7, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 333 Turnpike RD Ste 101
Southborough, MA 01772-1755 - City
- Southborough
- State
- Massachusetts
- Zip
- 01772-1755
- Phone Number
- 508-970-6377
Provider Business Mailing Address Details
- Address
- 71 Orchard Hill Dr
Oxford, MA 01540-1822 - City
- Oxford
- State
- MA
- Zip
- 01540-1822
- Phone Number
- 774-275-8919
- Fax Number
- 774-275-8919
License Information
- Taxonomy
- Behavior Technician · 106S00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Behavior Technicians near Southborough, MA
View all Behavior Technicians in Southborough →Frequently Asked Questions
What is the NPI number of Elissa K Blom?
The NPI number of Elissa K Blom is 1356131122. It was assigned on May 7, 2025 and is currently active in the NPPES registry.
What is the specialty of Elissa K Blom?
Elissa K Blom is registered under the primary taxonomy Behavior Technician (code 106S00000X).
Where does Elissa K Blom practice?
The practice location is 333 Turnpike RD Ste 101, Southborough, MA 01772-1755. The office can be reached at 508-970-6377 (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 1356131122 directly on the NPPES registry website.