Caitlin Bloom

NPI #1255791620 in Fargo, North Dakota

Provider Information

NPI Number: 1255791620
Entity Type: Individual
Name: Caitlin Bloom
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 29, 2016
Last Updated: Jul 26, 2018

Practice Location

Address: 3401 45TH ST S STE A
City: Fargo
State: North Dakota
ZIP Code: 58104
Phone: (701) 356-4384

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Behavior Technician	106S00000X	Primary

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