Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255791620 Individual Practitioner Female Practitioner

Caitlin Bloom

Behavior Technician • Fargo, ND

Professional Overview & Biography Verified Profile Summary

Caitlin Bloom is a registered healthcare professional specializing in Behavior Technician in Fargo, ND. Practice services are available at 3401 45TH ST S STE A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3401 45th St S Ste A

Fargo, ND 58104

Telephone 7013564384
Fax 7013564383

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Fargo, ND

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 1.0 Yrs
State Avg: 1.0 Yrs
Regional Practice Density
214 Specialists

Practicing in Fargo, ND (632 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

Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

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.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1462276 (ND)

Secondary Practice Locations

891 Belsly Blvd

Moorhead, MN 565605055

Phone: 2182874338

Practice Associates & Co-Workers

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

40 Associated Practitioners
Aleece Jung , LAPC

Counselor - Professional

NPI 1013322601
Kalli Anderson

Behavior Technician

NPI 1013663970
Krysta Ronning

Behavior Technician

NPI 1023584919
Anica Nelson , RBT

Behavior Technician

NPI 1023857240

Registered Behavior Technician

Kailey Boman

Behavior Technician

NPI 1043053994
Jillyan Bledsoe

Behavior Technician

NPI 1043888449

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location July 26, 2018

Registered at 3401 45TH ST S STE A, FARGO, ND 58104 (Tel: 7013564384)

📍
Updated Business Mailing Address July 26, 2018

Registered at 3401 45TH ST S STE A, FARGO, ND 581048970 (Tel: 7013564384)

NPI Profile Active February 29, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location February 29, 2016

Registered at 891 BELSLY BLVD, MOORHEAD, MN 565605055 (Tel: 2182874338)

📍
Updated Business Mailing Address February 29, 2016

Registered at 1126 WESTRAC DR S, FARGO, ND 581032342 (Tel: 7014122973)

👤
Provider Name / Credentials Updated February 29, 2016

Recorded as CAITLIN BLOOM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 29, 2016

Counselor

🟢
Initial NPI Registration & Enumeration February 29, 2016

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: 1255791620
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 29, 2016
Last Update: July 26, 2018
Sole Proprietor: No

Mailing Address

3401 45th St S Ste A

Fargo, ND 581048970

Phone: 7013564384

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.