Kayla Anne Bloomer, BCBA, LBA
Behavior Analyst in Durham, NC. Individual provider (NPI-1).
NPI number1124415039
StatusActive
Last updated in NPPESDec 20, 2024
Details
- NPI
- 1124415039
- Entity type
- Individual (NPI-1)
- Name
- Kayla Anne Bloomer
- Credential
- BCBA, LBA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 17, 2015
- Certification date
- Dec 17, 2024
- Last updated
- Dec 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-15-18006 | NJ | Yes |
Practice location
1920 Nc-54 Ste 240, 360Durham, NC 27713
Phone 134-091-9378
Mailing address
569 Panorama Park PlCary, NC 27519-0858
Phone 856-466-1457
Other practice locations
3649 Cape Center Dr
Fayetteville, NC 28304-4457
Fayetteville, NC 28304-4457
Phone 910-484-1711
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