Individual provider · Type 1 NPI

Elissa Katherine Blom

Behavior Technician · Southborough, MA

NPI number 1356131122 Active

Practice location

333 Turnpike Rd Ste 101
Southborough, MA 01772-1755

Mailing address

71 Orchard Hill Dr
Oxford, MA 01540-1822

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XNone listed

Behavior Technician: The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That…

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About NPI 1356131122

Elissa Katherine Blom's National Provider Identifier is 1356131122, issued on May 7, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Southborough, MA. The record was last updated on May 7, 2025.