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

Kieren Charles Blom

Individual provider Assistant Behavior Analyst · NPI 1811717408

Kieren Charles Blom is an Assistant Behavior Analyst in Oak Harbor, Washington. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

32650 State Route 20 Ste E204
Oak Harbor, WA 98277-2686
Phone: (208) 996-2811
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X
Assistant Behavior Analyst Taxonomy 106E00000X

Record details

NPI number1811717408
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 16, 2024
Last updated in NPPESNovember 4, 2024
Certification dateNovember 4, 2024

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