Kieren Charles Blom

NPI #1811717408 in Oak Harbor, Washington

Provider Information

NPI Number: 1811717408
Entity Type: Individual
Name: Kieren Charles Blom
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 16, 2024
Last Updated: Nov 4, 2024

Practice Location

Address: 32650 STATE ROUTE 20 STE E204
City: Oak Harbor
State: Washington
ZIP Code: 98277-2686
Phone: (208) 996-2811

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assistant Behavior Analyst	106E00000X
Behavior Technician	106S00000X	Primary

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