KENDRA R BOLOM RBT
NPI 1720797038
Behavior Technician in Columbia, KY

Active since November 16, 2022
312 HURT ST UNIT C, COLUMBIA, KY 42728(270) 250-5070(270) 380-1711 Get Directions Write a Review

NPPES record last updated: November 16, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kendra R Bolom Rbt NPPES

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

KENDRA R BOLOM RBT (NPI 1720797038) is an individual behavior technician in Columbia, Kentucky and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1720797038
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameKENDRA R BOLOMCredential: RBT
Location Address312 HURT ST UNIT CColumbia, KY 42728-2311
Mailing Address312 Hurt St Unit CColumbia, KY 42728-2311 · (270) 250-5070 · Fax (270) 380-1711
Fax(270) 380-1711
Sole ProprietorYes
Enumeration DateNovember 16, 2022
NPPES CertifiedNovember 16, 2022
NPI 1720797038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

312 HURT ST UNIT C, Columbia, KY 42728

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Behavior Technician
312 HURT ST UNIT C
COLUMBIA, KY 42728
Behavior Technician
312 HURT ST UNIT C
COLUMBIA, KY 42728
Behavior Technician
312 HURT ST UNIT C
COLUMBIA, KY 42728
Behavior Technician
312 HURT ST UNIT C
COLUMBIA, KY 42728
Behavior Technician
312 HURT ST UNIT C
COLUMBIA, KY 42728

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720797038, enumerated as an "individual" on November 16, 2022.

The provider is located at 312 HURT ST UNIT C COLUMBIA, KY 42728 and the phone number is (270) 250-5070.

Behavior Technician with taxonomy code 106S00000X.