Caitlin Bloom, is a
Behavior Technician based in Fargo, North Dakota. Caitlin Bloom is licensed to practice in * (Not Available) (license number ) and her current practice location is
3401 45th St S Ste A, Fargo, North Dakota. She can be reached at her office (for appointments etc.) via phone at
(701) 356-4384.
NPI number for Caitlin Bloom is 1255791620 and her current mailing address is 3401 45th St S Ste A, Fargo, North Dakota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255791620.
Healthcare Provider's Profile
| Full Name | Caitlin Bloom |
|---|
| Gender | Female |
|---|
| Speciality | Behavior Technician |
|---|
| Location | 3401 45th St S Ste A, Fargo, North Dakota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1255791620
- Provider Enumeration Date: 02/29/2016
- Last Update Date: 07/26/2018
Medical Identifiers
Medical identifiers for Caitlin Bloom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255791620 | NPI | - | NPPES |
| 1462276 | Medicaid | ND | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Caitlin Bloom is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Caitlin Bloom,
3401 45th St S Ste A,
Fargo, ND 58104-8970
Ph: (701) 356-4384 | Caitlin Bloom,
3401 45th St S Ste A,
Fargo, ND 58104
Ph: (701) 356-4384 |
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