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MS. KENDRA SUNDIN BLOOM BCBA, LBA
NPI 1609484898
Behavior Analyst in Marquette, MI

Active since July 14, 2020
1229 W. WASHINGTON ST. SUITE 5, MARQUETTE, MI 49855(906) 273-1121(906) 225-6706 Get Directions Write a Review

NPPES record last updated: December 15, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 15, 2020, Jul 14, 2020 (2 updates tracked since 2020).

About Ms. Kendra Sundin Bloom Bcba, Lba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KENDRA SUNDIN BLOOM BCBA, LBA (NPI 1609484898) is an individual behavior analyst provider in Marquette, Michigan, licensed in Michigan (20258150925) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1609484898
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameMS. KENDRA SUNDIN BLOOMCredential: BCBA, LBA
Location Address1229 W. WASHINGTON ST. SUITE 5Marquette, MI 49855-0000
Mailing Address1229 W. Washington St. Suite 5Marquette, MI 49855-0000 · (906) 273-1121 · Fax (906) 225-6706
Phone(906) 273-1121
Fax(906) 225-6706
Sole ProprietorNo
Enumeration DateJuly 14, 2020
Last NPPES UpdateDecember 15, 20202 updates tracked since enumeration
NPPES CertifiedDecember 15, 2020
✔ NPI 1609484898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License✔ Licensed in MI · 20258150925
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Also ListedAssistant Behavior AnalystTaxonomy 106E00000X · License 20045130244 (MI)
1229 W. WASHINGTON ST. SUITE 5, Marquette, MI 49855
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kendra Bloom's NPI number?

The NPI number for Kendra Bloom is 1609484898. It was assigned to this individual provider in the NPPES registry on July 14, 2020.

Where is Kendra Bloom located?

Kendra Bloom practices at 1229 W. Washington St. Suite 5, Marquette, MI 49855. The listed phone number is (906) 273-1121.

What is Kendra Bloom's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Kendra Bloom was last updated on December 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.