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

MS. Mackenzie Blomstrom

Individual provider Behavior Technician · NPI 1992322218

MS. Mackenzie Blomstrom is a Behavior Technician in New York, New York. Licensed in New York. Registered with an NPI since 2020.

Licensed in
NY
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

222 W 21st St Apt 3F
New York, NY 10011-3485
Phone: (571) 659-1549
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 116902 (NY)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1992322218
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 2, 2020
Last updated in NPPESSeptember 29, 2022
Certification dateSeptember 29, 2022
Mailing address222 W 21st St Apt 3f, New York, NY 10011-3485

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