Bloom Support Services, LLC

Behavior Analyst · Bend, OR

Organization Active NPI

NPI number 1093512519

Practice location

63156 Lancaster St
Bend, OR 97701-7066
Phone
(541) 728-3811

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NPI record

NPI
1093512519
Entity type
Organization (Type 2)
Enumeration date
March 3, 2025
Last updated
June 13, 2025
Certified
June 13, 2025
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X — —
Behavior Technician 106S00000X — —

Authorized official

Name
Alexandra Vanderheid-Nye, MA, BCBA, LBA
Title
Owner
Phone
(541) 728-3811

Other names

  • Bloom Support Services

About Bloom Support Services, LLC

Bloom Support Services, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 63156 Lancaster St, Bend, OR 97701-7066. The NPI number 1093512519 was assigned on March 3, 2025 and the record was last updated on June 13, 2025.

The authorized official for this organization is Alexandra Vanderheid-Nye, MA, BCBA, LBA, Owner.

Frequently asked questions

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

The NPI number is 1093512519.

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

The phone number listed for the practice location is (541) 728-3811.

Where is Bloom Support Services, LLC located?

63156 Lancaster St, Bend, OR 97701-7066.

What is the taxonomy code for Bloom Support Services, LLC?

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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