BLOOM BEHAVIORAL COMMUNITY
NPI 1639652266
Assistant Behavior Analyst in Phoenix, AZ

Q: What is Bloom Behavioral Community's NPI number?

The NPI number for Bloom Behavioral Community is 1639652266. It was assigned to this organization in the NPPES registry on September 10, 2018.

Q: What is Bloom Behavioral Community's specialty?

The primary specialty registered for this NPI is Assistant Behavior Analyst with taxonomy code 106E00000X.

Active since September 10, 2018

819 W SAN MIGUEL AVE, PHOENIX, AZ 85013(602) 434-2612 Get Directions Write a Review

NPPES record last updated: September 10, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Bloom Behavioral Community NPPES

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

BLOOM BEHAVIORAL COMMUNITY (NPI 1639652266) is a healthcare organization registered as an assistant behavior analyst in Phoenix, Arizona and active in the NPI registry since September 2018. The organization lists Jeannette L Everette, Administrator, as its authorized official.

NPPES Registry Identity

NPI1639652266

Entity TypeOrganization

Primary Taxonomy106E00000X

Legal Business NameBLOOM BEHAVIORAL COMMUNITY

Location Address819 W SAN MIGUEL AVEPhoenix, AZ 85013-1744

Mailing Address819 W San Miguel AvePhoenix, AZ 85013-1744 · (602) 434-2612

Phone(602) 434-2612

Organization SubpartYesParent: Iris House Assisted Living, Llc

Authorized OfficialJeannette L EveretteAdministrator · (602) 434-2612

Enumeration DateSeptember 10, 2018

✔ NPI 1639652266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssistant Behavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code106E00000X

Definition

An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans.

819 W SAN MIGUEL AVE, Phoenix, AZ 85013

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Other Names 1

Doing Business AsBloom Behavioral Community

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Bloom Behavioral Community's NPI number?

The NPI number for Bloom Behavioral Community is 1639652266. It was assigned to this organization in the NPPES registry on September 10, 2018.

Where is Bloom Behavioral Community located?

Bloom Behavioral Community is located at 819 W San Miguel Ave, Phoenix, AZ 85013. The listed phone number is (602) 434-2612.

What is Bloom Behavioral Community's specialty?

The primary specialty registered for this NPI is Assistant Behavior Analyst with taxonomy code 106E00000X.

When was this NPI record last updated?

The NPPES record for Bloom Behavioral Community was last updated on September 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.