Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1609484898 Individual Practitioner Female Practitioner

Kendra Sundin Bloom , BCBA, LBA

Behavior Analyst • Marquette, MI

Professional Overview & Biography Verified Profile Summary

Kendra Bloom, BCBA, LBA is a registered healthcare professional specializing in Behavior Analyst in Marquette, MI. Practice services are available at 1229 W. WASHINGTON ST. SUITE 5 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1229 W. Washington St. Suite 5

Marquette, MI 498550000

Telephone 9062731121
Fax 9062256706
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Marquette, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
24 Specialists

Practicing in Marquette, MI (3207 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-12-15
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License MI 20258150925

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Assistant Behavior Analyst

NUCC Taxonomy Code: 106E00000X

State License MI 20045130244

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

27 Associated Practitioners
Andrea Carpenter , BCBA

Behavior Analyst

NPI 1083432348

Board Certified Behavior Analyst

Morgan Gardner , BCBA

Behavior Analyst

NPI 1134756737

Board Certified Behavior Analyst

Abigail Johnson

Behavior Technician

NPI 1184586109
NPI 1194399550

Master of Science, Board Certified Behavior Analyst

Tori Pickens , RBT

Behavior Technician

NPI 1215787759

Registered Behavior Technician

Audrey Smihal

Behavior Technician

NPI 1245105790

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location December 15, 2020

Registered at 1229 W. WASHINGTON ST. SUITE 5, MARQUETTE, MI 498550000 (Tel: 9062731121)

📍
Updated Business Mailing Address December 15, 2020

Registered at 1229 W. WASHINGTON ST. SUITE 5, MARQUETTE, MI 498550000 (Tel: 9062731121)

👤
Provider Name / Credentials Updated December 15, 2020

Recorded as KENDRA BLOOM, BCBA, LBA

NPI Profile Active July 14, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location July 14, 2020

Registered at 1229 W WASHINGTON ST STE 5, MARQUETTE, MI 498553186 (Tel: 9062731121)

📍
Updated Business Mailing Address July 14, 2020

Registered at 500 JACKSON ST APT 2, MARQUETTE, MI 498555081 (Tel: 9062862438)

👤
Provider Name / Credentials Updated July 14, 2020

Recorded as KENDRA BLOOM, BCABA/LBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2020

Assistant Behavior Analyst (License #20045130244 in MI)

🟢
Initial NPI Registration & Enumeration July 14, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609484898
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 14, 2020
Last Update: December 15, 2020
Sole Proprietor: No

Mailing Address

1229 W. Washington St. Suite 5

Marquette, MI 498550000

Phone: 9062731121

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.