Stanley Shane Bloom, BCBA

Behavior Analyst · Aiea, HI

Individual Active NPI

NPI number 1093244782

Practice location

98-939 Moanalua Rd
Aiea, HI 96701-5012
Phone
(855) 223-7123

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NPI record

NPI
1093244782
Entity type
Individual (Type 1)
Enumeration date
June 7, 2017
Last updated
October 2, 2024
Certified
October 2, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X BA-433 HI
Behavior Analyst 103K00000X 1-20-42966 HI

Mailing address

PO Box 33568
San Diego, CA 92163-3568
Phone
(855) 223-7123
Fax
(619) 374-7134

About Stanley Bloom

Stanley Shane Bloom, BCBA is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 98-939 Moanalua Rd, Aiea, HI 96701-5012. The NPI number 1093244782 was assigned on June 7, 2017 and the record was last updated on October 2, 2024.

Stanley Bloom lists 2 licenses in the registry: #BA-433 (HI) for Behavior Analyst; #1-20-42966 (HI) for Behavior Analyst. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Stanley Shane Bloom, BCBA?

The NPI number is 1093244782.

What is the phone number of Stanley Bloom?

The phone number listed for the practice location is (855) 223-7123.

Where is Stanley Bloom located?

98-939 Moanalua Rd, Aiea, HI 96701-5012.

What is the taxonomy code for Stanley Bloom?

The primary taxonomy code is 103K00000X – Behavior Analyst; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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