LORRAINE BLOOM (NPI# 1134553472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134553472 |
| Entity Type | Individual |
| Full Name | LORRAINE BLOOM |
| Credential | BCBA, LBA |
| Practice Address |
67 Riverview Ave Portsmouth VA 23704-1928 |
| Practice Telephone | 3136750411 |
| Practice Fax Number | 8665860747 |
| Mailing Telephone | 3136750411 |
| Mailing Fax Number | 8665860747 |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2016-01-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 0133000240 | VA | Behavioral Health & Social Service Providers |
| Street Address |
67 RIVERVIEW AVE |
| City | PORTSMOUTH |
| State | VA |
| Zip Code | 23704-1928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457973588 | Ralpheana Denee Lawton | Clinic/Center | 2317 Richmond Ave, Portsmouth, VA 23704 | 2020-05-12 |
| 1376079186 | Faithful Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1509 Parker Ave, Portsmouth, VA 23704 | 2017-05-11 |
| 1285184168 | Sarah Crawford | Counselor | Harbor Point, 301 Fort Lane, Portsmouth, VA 23704 | 2016-10-04 |
| 1295137560 | Sarah Lee Arnell Rogers | Registered Nurse | 935 Blair Steet, Portsmouth, VA 23704 | 2014-09-18 |
| 1396161212 | Cheryl Denise Mcneil | Home Health | 1416 Portsmouth Boulevard, Portsmouth, VA 23704 | 2014-03-17 |
| 1609173988 | Roberta Marie Hansel-union | Behavioral Analyst | 711 Court Street, Portsmouth, VA 23704 | 2011-02-22 |
| 1447560875 | Denise Anderson Anderson | Licensed Vocational Nurse | 1227 Summit Ave, Portsmouth, VA 23704 | 2010-10-19 |
| 1770890204 | Reymond G. Pascual Md.,pc | Specialist | 704 London Blvd, Portsmouth, VA 23704 | 2010-09-03 |
| 1184820003 | Charles Seth Eisenberg | Internal Medicine | Nmcp Cardiology, 620 John Paul Jones Cir, Portsmouth, VA 23704 | 2007-06-26 |
| 1902028251 | James Bentley Treatment Program | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1020 Leckie Street, Portsmouth, VA 23704 | 2007-05-03 |
| Find all providers in zip 23704 | ||||
| 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 |
|---|---|---|---|---|
| 1619454261 | Katie Lauren Hoyle | Behavioral Analyst | 5109 Sweetbriar Cir, Portsmouth, VA 23703-4609 | 2018-07-26 |
| 1154814614 | Elise Marie Grybos | Behavioral Analyst | 702 Douglas Ave, Portsmouth, VA 23707-1908 | 2018-06-10 |
| 1043740269 | Leslie Mccleland | Behavioral Analyst | 231 Hatton St, Portsmouth, VA 23704-2254 | 2017-06-20 |
| 1932591690 | Jenna Garrett | Behavioral Analyst | 54 Harvard Rd, Portsmouth, VA 23701-2023 | 2015-03-04 |
| 1154662435 | Michelle M Hascall | Behavioral Analyst | 4421 Faigle Rd, Portsmouth, VA 23703-4814 | 2013-03-11 |
| 1205190246 | Kelly Allinson Couturier | Behavioral Analyst | 1465 Woodbury Ave, #375, Portsmouth, NH 03801-3210 | 2012-06-25 |
| 1508131020 | Kelly Myers Guyot | Behavioral Analyst | 4900 W Norfolk Rd, Portsmouth, VA 23703-2128 | 2012-03-16 |
| 1609140128 | Brianne M Fredericks | Behavioral Analyst | 200 Griffin Rd Ste 5, Portsmouth, NH 03801-7145 | 2012-03-01 |
| 1609173988 | Roberta Marie Hansel-union | Behavioral Analyst | 711 Court Street, Portsmouth, VA 23704 | 2011-02-22 |
| 1265747679 | Shannon Marie Pociask | Behavioral Analyst | 3225 Madden Ter, Portsmouth, VA 23703-4228 | 2010-08-10 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 23704 |
Please comment or provide details below to improve the information on LORRAINE 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.