Active NPI
Cameo Blundstone
- Behavior Technician
- Martinez, GA
National Provider Identifier
1104668003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 3506 Professional Cir Ste a
Martinez, GA 30907-8234 - Phone
- (706) 993-3829
- NPI assigned
- Jun 11, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
3506 Professional Cir Ste a
Martinez, GA 30907-8234
Mailing address
1653 Garcia Dr Apt a
Fort Gordon, GA 30905-2817
Other practice location 1
823 Broad St
Augusta, GA 30901-1214
Phone (706) 993-3829
Other practice location 2
3031 Westerly Dr
Franklin, TN 37067-8594
Phone (615) 663-8872
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pastiche Partners | Behavior Technician | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782086400000",
"number": "1104668003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1653 GARCIA DR APT A",
"city": "FORT GORDON",
"state": "GA",
"postal_code": "309052817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3506 PROFESSIONAL CIR STE A",
"city": "MARTINEZ",
"state": "GA",
"postal_code": "309078234",
"telephone_number": "706-993-3829"
}
],
"practiceLocations": [
{
"address_1": "823 Broad St",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "309011214",
"country_code": "US",
"telephone_number": "706-993-3829",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3031 Westerly Dr",
"address_purpose": "LOCATION",
"city": "Franklin",
"state": "TN",
"postal_code": "370678594",
"country_code": "US",
"telephone_number": "615-663-8872",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLUNDSTONE",
"first_name": "CAMEO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-11",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Martinez, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.