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Active NPI 1093512519 Organization (Entity Type 2)

Bloom Support Services, Llc

Behavior Analyst • Bend, OR

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About Bloom Support Services, Llc NPI 1093512519 Summary

Bloom Support Services, Llc is a verified healthcare organization specializing in Behavior Analyst operating in Bend, OR. Located at 63156 LANCASTER ST, this facility provides patient care and medical services under National Provider Identifier (NPI) 1093512519.

Administrative operations and authorized compliance are overseen by Alexandra Vanderheid-Nye (Owner).

The facility is associated with 1 linked healthcare practitioner providing clinical services.

Facility Location & Contact Primary Location

Facility Address

63156 Lancaster St

Bend, OR 977017066

Telephone 5417283811

Authorized Official Information

Authorized Contact Name

Alexandra Vanderheid-Nye , MA, BCBA, LBA

Title / Role

Owner

Official Telephone

5417283811

Facility Classifications & Specialties

Behavior Analyst Primary Taxonomy

NUCC Taxonomy Code: 103K00000X

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.

Behavior Technician

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.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

1 Linked

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

8 Historical Events
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Organization / Clinic Name Updated June 13, 2025

Operating as BLOOM SUPPORT SERVICES, LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2025

Behavior Technician

NPI Profile Active March 03, 2025

NPI status registered as active in NPPES database

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Updated Practice Location March 03, 2025

Registered at 63156 LANCASTER ST, BEND, OR 977017066 (Tel: 5417283811)

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Updated Business Mailing Address March 03, 2025

Registered at 63156 LANCASTER ST, BEND, OR 977017066 (Tel: 5417283811)

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Organization / Clinic Name Updated March 03, 2025

Operating as ALEXANDRA VANDERHEID-NYE, BCBA, LBA

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2025

Behavior Analyst

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Initial NPI Registration & Enumeration March 03, 2025

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1093512519
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: March 03, 2025
Last Update: June 13, 2025

Mailing Address

63156 Lancaster St

Bend, OR 977017066

Phone: 5417283811

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.