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: August 16, 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 NPPES 5

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

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 NPPES & CMS

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

What is Kendra Bolom's NPI number?

The NPI number for Kendra Bolom is 1720797038. It was assigned to this individual provider in the NPPES registry on November 16, 2022.

Where is Kendra Bolom located?

Kendra Bolom practices at 312 Hurt St Unit C, Columbia, KY 42728. The listed phone number is (270) 250-5070.

What is Kendra Bolom'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 Kendra Bolom was last updated on November 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.