Za'Kettha Lanique Blaylock
Individual provider Active NPI Behavior Technician · Windsor Mill, MD
NPI 1831031897 · NPPES record last updated Apr 8, 2026
Key facts
- NPI
- 1831031897
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 2807 Diamond Ridge Rd Apt 301
Windsor Mill, MD 21244-6012 - Phone
- (302) 358-5425
- NPI assigned
- Apr 8, 2026
- Sex
- Female
- 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
2807 Diamond Ridge Rd Apt 301
Windsor Mill, MD 21244-6012
Mailing address
2807 Diamond Ridge Rd Apt 301
Windsor Mill, MD 21244-6012
Phone (302) 358-5425
Other providers in Windsor Mill, MD
- Better Path Community Outreach Center, LLC
- Bima Healthcare Services LLC
- Melanie L. Birch
- Marian Victoria Bland
- Kimberly Welch Blay
- Bloom Services of Maryland
- Board of Child Care of the United Methodist Churh, Inc.
- Gerryl Boatwright Sr.
- Osviel Bocourt Hernandez Sr.
- Bon Ridge Wellness, LLC
All providers in Windsor Mill, MD · Behavior Technician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2026. 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.