HALEY BLOOM
NPI 1679088165
Behavior Technician in Grand Rapids, MI

Active since December 06, 2017
3300 36TH ST SE, GRAND RAPIDS, MI 49512(616) 942-2110 Get Directions Write a Review

NPPES record last updated: March 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 20, 2020, Mar 14, 2019, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Haley Bloom NPPES

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

HALEY BLOOM (NPI 1679088165) is an individual behavior technician in Grand Rapids, Michigan and active in the NPI registry since December 2017. She maintains a secondary practice location in Grand Rapids.

NPPES Registry Identity

NPI1679088165
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameHALEY BLOOM
Location Address3300 36TH ST SEGrand Rapids, MI 49512-2810
Mailing Address3300 36th St SeGrand Rapids, MI 49512-2810 · (616) 490-0033
Sole ProprietorNo
Enumeration DateDecember 6, 2017
Last NPPES UpdateMarch 20, 20204 updates tracked since enumeration
NPPES CertifiedMarch 20, 2020
NPI 1679088165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
Also ListedBehavior AnalystTaxonomy 103K00000X · License 7402000025 (MI)
3300 36TH ST SE, Grand Rapids, MI 49512

Secondary Practice Location 1

Location 11260 Ekhart St NEGrand Rapids, MI 49503-1380 · Phone (616) 942-2110

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Behavior Analyst
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Behavior Technician
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Behavior Analyst
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Behavior Technician
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Behavior Technician
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Behavior Technician
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Student in an Organized Health Care Education/Training Program
3300 36TH ST SE
GRAND RAPIDS, MI 49512

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 Haley Bloom's NPI number?

The NPI number for Haley Bloom is 1679088165. It was assigned to this individual provider in the NPPES registry on December 6, 2017.

Where is Haley Bloom located?

Haley Bloom practices at 3300 36th St SE, Grand Rapids, MI 49512. The listed phone number is (616) 942-2110.

What is Haley Bloom's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Haley Bloom was last updated on March 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.