Stanley Shane Bloom , BCBA
Behavior Analyst β’ Aiea, HI
98-939 Moanalua Rd
Aiea, HI 967015012
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
98-939 Moanalua Rd
Aiea, HI 967015012
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Behavior Analyst: NPPES taxonomy is a reported classification, not proof of board certification.
NPI first issued
2017
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Aiea and Hawaii
47 active clinicians are listed under Behavior Analyst with a practice address in Aiea, HI (911 in Hawaii).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Aiea
0% of these 47 clinicians have the CMS telehealth indicator.
0% of these 47 clinicians are listed by CMS as accepting Medicare assignment.
Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2024-10-02NUCC Taxonomy Code: 103K00000X
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
NUCC Taxonomy Code: 103K00000X
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Additional State Medicaid & Healthcare Payer Identifiers
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Behavior Analyst (license number reported to NPPES: HI 1-20-42966)
Registered at 98-939 MOANALUA RD, AIEA, HI 967015012 (Tel: 8552237123)
Registered at PO BOX 33568, SAN DIEGO, CA 921633568 (Tel: 8552237123)
Behavior Analyst (license number reported to NPPES: HI BA-433)
Recorded as STANLEY BLOOM, BCBA
Behavior Analyst (license number reported to NPPES: HI BA-433-0)
Behavior Technician (license number reported to NPPES: MI RBT-16-21738)
Registered at 100 KAHELU AVE STE 112, MILILANI, HI 967893913 (Tel: 8086253000)
Registered at 100 KAHELU AVE STE 112, MILILANI, HI 967893913 (Tel: 8086253000)
Recorded as STANLEY MACKEY, BCBA
Technician, Other
Registered at 18635 BOWIE ST, SOUTHGATE, MI 481952805 (Tel: 7347857700)
Registered at 19401 NORTHLINE RD, SOUTHGATE, MI 481952277 (Tel: 7347857700)
Recorded as STANLEY MACKEY, QBHP
NPI status registered as active in NPPES database
Registered at 79 W ALEXANDRINE ST, DETROIT, MI 482012015 (Tel: (313) 831-5535)
Registered at 79 W ALEXANDRINE ST, DETROIT, MI 482012015 (Tel: 3138315535)
Recorded as STANLEY MACKEY
Behavior Technician (license number reported to NPPES: MI RBT-16-21738)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
Po Box 33568
San Diego, CA 921633568
Phone: 8552237123