Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. STANLEY SHANE BLOOM, BCBA
ActiveBehavior Analyst · AIEA, HI
Registration Details
- NPI Number
- 1093244782
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 7, 2017 (8.9102435901103 yrs)
- Last Updated
- Oct 2, 2024
- Licenses
-
1-20-42966 (HI)BA-433 (HI)
Practice Information
- Address
-
98-939 MOANALUA RDAIEA, HI, 967015012Browse HI providers · Browse ZIP 96701
- Phone
- 8552237123
- Primary Specialty
-
Behavior Analyst
103K00000X
- Additional Specialty
- Behavior Analyst
Other Behavior Analyst Providers in AIEA, HI
| Name | Credential | NPI |
|---|---|---|
| LARA BOLLINGER | BCBA | 1083995344 |
| CARL LE | BCBA | 1104161256 |
| ASHLEY N HOGAN | — | 1194066951 |
| KELLY DEACON | — | 1952747362 |
| NEDELKA GABRIELA MARTINEZ | BCBA | 1063843837 |
| MS. MICHELE MATSUMOTO | — | 1245617513 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.