Kayla Anne Bloomer, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-15-18006 Issued in NJ

Practice address

1920 NC-54 Ste 240, 360
Durham, NC 27713

Phone

(134) 091-9378

NPI assigned

Apr 17, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1124415039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "569 PANORAMA PARK PL",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275190858",
            "telephone_number": "856-466-1457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 NC-54 STE 240, 360",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27713",
            "telephone_number": "134-091-9378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3649 Cape Center Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283044457",
            "country_code": "US",
            "telephone_number": "910-484-1711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLOOMER",
        "first_name": "KAYLA",
        "middle_name": "ANNE",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-17",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "1-15-18006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Blood, M.D.
• Kalena Renee Bloodcloud, MSW, LCSW
• Erika Bloodworth, LCMHC
• Bloom With Grace, PLLC
• Olivia Bloom, DPT
• Gerald S Bloomfield Jr., M.D.
• Blooming Minds Therapy
• Britton Ashli Blough, MD
• Jan Blount, LPCA
• Sophia Blount, NP

• Behavior Analyst in Durham, NC
• Providers in Durham, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.