Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Katelynn Christine Bloom

Individual provider Behavior Technician · NPI 1053189134

Katelynn Christine Bloom is a Behavior Technician in Riverside, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

3877 12th St
Riverside, CA 92501-3578
Phone: (951) 392-7803
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X
Behavior Technician Taxonomy 106S00000X (CA)

Record details

NPI number1053189134
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 18, 2023
Last updated in NPPESDecember 18, 2023
Certification dateDecember 18, 2023
Mailing address2115 Possum Ct, San Jacinto, CA 92582-3703

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