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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

NPI Number 1093512519
LBN Legal business name BLOOM SUPPORT SERVICES, LLC
Authorized official ALEXANDRA VANDERHEID-NYE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/03/2025
Last updated 06/13/2025 - About 12 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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