GABRIELLE ELENA BLOOM (NPI# 1700144060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700144060 |
| Entity Type | Individual |
| Full Name | GABRIELLE ELENA BLOOM |
| Credential | BCBA |
| Practice Address |
2814 Woodcliff Cir Se Grand Rapids MI 49506-3155 |
| Mailing Address |
2102 Lac Du Mont Apt C2 Haslett MI 48840-9518 |
| Practice Telephone | 8558326727 |
| Practice Fax Number | 7726759100 |
| Mailing Telephone | 6192441913 |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2019-04-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-12-10114 | Behavioral Health & Social Service Providers |
| Street Address |
2814 WOODCLIFF CIR SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49506-3155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972420 | Hannah Britton | Behavior Technician | 2814 Woodcliff Cir Se, Grand Rapids, MI 49506-3155 | 2020-11-06 |
| 1558962118 | Damaya Starr | Behavior Technician | 2814 Woodcliff Cir Se, Grand Rapids, MI 49506-3155 | 2020-11-02 |
| 1134729007 | Andrew David Speas | Behavior Technician | 2814 Woodcliff Cir Se, Grand Rapids, MI 49506-3155 | 2020-10-29 |
| 1265031116 | Amy Dunn | Behavior Technician | 2814 Woodcliff Cir Se, Grand Rapids, MI 49506-3155 | 2020-10-21 |
| 1063011476 | Rebecca Lange | Behavior Technician | 2814 Woodcliff Cir Se, Grand Rapids, MI 49506-3155 | 2020-10-19 |
| 1346848843 | Ashley N Craddock | Behavior Technician | 2814 Woodcliff Cir Se, Grand Rapids, MI 49506-3155 | 2020-10-15 |
| 1427656131 | Carrie Ann Scofield | Behavior Technician | 2814 Woodcliff Cir Se, Grand Rapids, MI 49506-3155 | 2020-10-14 |
| 1841898848 | Amy Jo Hamman | Behavior Technician | 2814 Woodcliff Cir Se, Grand Rapids, MI 49506-3155 | 2020-10-12 |
| 1144827619 | Lauren Elizabeth Meijer | Behavior Technician | 2814 Woodcliff Cir Se, Grand Rapids, MI 49506-3155 | 2020-10-07 |
| 1629685128 | Shelby A Williams | Technician, Other | 2814 Woodcliff Cir Se, Grand Rapids, MI 49506-3155 | 2020-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954705 | Mckenna Shank | Technician | 1409 E Beltline Ave Se, Grand Rapids, MI 49506 | 2020-08-26 |
| 1750917969 | Meghan Elizabeth Southwell | Social Worker | Counseling Center of West Michigan, 360 East Beltline Ave Ne Suite 100, Grand Rapids, MI 49506 | 2020-03-19 |
| 1356876536 | Lisa Finkbeiner | Chiropractor | 1324 Lake Dr Se Ste 1, Grand Rapids, MI 49506 | 2017-04-26 |
| 1447622964 | Ashley Robinson | Rehabilitation Practitioner | 1490 East Beltline Ave, Grand Rapids, MI 49506 | 2015-10-23 |
| 1770951584 | Stuart Segal | Behavioral Analyst | 1415 Wealthy St Se Apt 312, Grand Rapids, MI 49506 | 2015-09-10 |
| 1922476373 | Elizabeth Taylor | Nurse Practitioner | 2255 Wealthy Dr., Grand Rapids, MI 49506 | 2015-09-02 |
| 1780066092 | Carole Walters Counseling | Social Worker | 959 Wealthy St. Se, Grand Rapids, MI 49506 | 2015-06-23 |
| 1053792697 | Rosemary F. Trimpe | Social Worker | 4255 Kalamazoo Se, Grand Rapids, MI 49506 | 2015-06-09 |
| 1164809919 | Gary James | Rehabilitation Practitioner | 1490 E. Beltline Se, Grand Rapids, MI 49506 | 2015-04-30 |
| 1275925315 | Paul Cole | Counselor | 1101 Ball Ave. .se., Grand Rapids, MI 49506 | 2015-02-26 |
| Find all providers in zip 49506 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396306023 | Emma Mitchell | Behavioral Analyst | 107 Auburn Ave Se, Grand Rapids, MI 49506-1621 | 2019-06-24 |
| 1740747393 | Jaimie Schmitt | Behavioral Analyst | 668 3 Mile Rd Nw Rear Ll, Grand Rapids, MI 49544-8219 | 2019-03-01 |
| 1437651791 | Robin Kuhn | Behavioral Analyst | 703 Hoyt St Se, Grand Rapids, MI 49507-3215 | 2018-03-02 |
| 1043660814 | Lyree Marie Adams | Behavioral Analyst | 3228 Brookshire Dr Se, Grand Rapids, MI 49508-2422 | 2016-06-13 |
| 1376991166 | Heather Robles | Behavioral Analyst | 2787 Wilson Ave Nw, Grand Rapids, MI 49534-7510 | 2016-06-02 |
| 1295196335 | Travis Vanoosten | Behavioral Analyst | 711 Logan St Se, Grand Rapids, MI 49503-5528 | 2016-03-17 |
| 1205296027 | Jennifer Leanna | Behavioral Analyst | 1009 44th St Sw Ste 106, Grand Rapids, MI 49509-4480 | 2016-03-07 |
| 1770951584 | Stuart Segal | Behavioral Analyst | 1415 Wealthy St Se Apt 312, Grand Rapids, MI 49506 | 2015-09-10 |
| 1689097750 | Lyncia Wright-white | Behavioral Analyst | 2148 Raspberry Ct Se Apt M, Grand Rapids, MI 49546-5973 | 2014-01-27 |
| 1679915524 | Brianna Elsasser | Behavioral Analyst | 1000 E Paris Ave Se Ste 160, Grand Rapids, MI 49546-8313 | 2013-07-19 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49506 |
Please comment or provide details below to improve the information on GABRIELLE ELENA BLOOM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.