Christopher William Blydenburgh
Individual provider Active NPI Behavior Technician · Hernando, FL
NPI 1306483409 · NPPES record last updated Dec 8, 2019
Key facts
- NPI
- 1306483409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 2535 E Marco CT # 11
Hernando, FL 34442-2962 - Phone
- (352) 270-5003
- NPI assigned
- Dec 8, 2019
- Sex
- Male
- Sole proprietor
- Yes
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
2535 E Marco CT # 11
Hernando, FL 34442-2962
Mailing address
2535 E Marco CT # 11
Hernando, FL 34442-2962
Phone (352) 270-5003
Other providers in Hernando, FL
- Michelle Marie Bailes
- Rachael Barahona
- Kaitlyn Barber
- BJL2, Inc
- Blessilda B. Liu M.D., P.a.
- Bridging Mountains LLC
- Brigham and Women'S
- Brooksville Hma Physician Management LLC
- Brooksville Hma Physician Management LLC
- Brooksville Hma Physician Management LLC
All providers in Hernando, FL · Behavior Technician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.