Kimberly Dawn Blodgett

Individual provider Active NPI Behavior Technician · Leonardtown, MD

NPI 1124975925 · NPPES record last updated Mar 12, 2026

Key facts

NPI
1124975925
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
22472 Armstrong Dr
Leonardtown, MD 20650-2616
Phone
(757) 452-7870
NPI assigned
Mar 12, 2026
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

22472 Armstrong Dr
Leonardtown, MD 20650-2616

Mailing address

22472 Armstrong Dr
Leonardtown, MD 20650-2616

Other names

  • Kimberly Dawn Blodgett Former name

Other providers in Leonardtown, MD

All providers in Leonardtown, MD · Behavior Technician in Maryland

Sources for this page

Verify at the official NPI Registry.