Organization
BLOOM SUPPORT SERVICES, LLC
Active
Other names
Bloom Support Services
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRA VANDERHEID-NYE MA, BCBA, LBA (OWNER)
(541) 728-3811
Entity
Organization
Contact information
Practice address
63156 LANCASTER ST, BEND, OR 97701-7066
(541) 728-3811
Mailing address
63156 LANCASTER ST, BEND, OR 97701-7066
(541) 728-3811
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/03/2025
Last updated
06/13/2025
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