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Contact Information

BLOOM SUPPORT SERVICES, LLC
63156 LANCASTER ST
BEND, OR97701-7066
 Phone: 541-728-3811
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Behavior Technician

106S00000X
Indicates primary specialty

NPI Profile & details for BLOOM SUPPORT SERVICES LLC · (Female)

NPI Number 1093512519
Status Active
Credentials
Entity Individual
Enumeration date 03/03/2025
Last updated 06/13/2025 - About 12 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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