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

Kelly Bloom

Individual provider Behavior Technician · NPI 1033617295

Kelly Bloom is a Behavior Technician in Bronx, New York. Licensed in New York. Registered with an NPI since 2018.

Licensed in
NY
In the registry since
2018
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Practice location Address checks out

727 Morris Park Ave
Bronx, NY 10462-3653
Phone: (631) 519-0761
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (NY)

Record details

NPI number1033617295
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 23, 2018
Last updated in NPPESJanuary 23, 2018
Mailing address21600 Oxnard St Ste 1800, Woodland Hills, CA 91367-7807

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