Bloom, Stanley Shane
Bloom, Stanley Shane is an individual health care provider with primary practice located at 98-939 Moanalua Rd , Aiea HI 96701-5012. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Bloom, Stanley Shane can be contacted via phone (855) 223-7123.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | BA-433 | Hawaii |
Profile Details
| NPI number | 1093244782 |
|---|---|
| LBN Legal business name | Bloom, Stanley Shane |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2017 |
| Last updated | Dec 1st, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093244782 | NPPES |
| Hawaii | Other | BA-433-0 | LICENSED BEHAVIOR ANALYST |
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