Individual
ALLISON JOY BLODGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
515 PALM COAST PKWY SW, SUITE 6, PALM COAST, FL 32137-4739
(386) 951-3044
(866) 610-0580
Mailing address
175 MIDDLE ST, SUITE 1201, LAKE MARY, FL 32746-3625
(866) 610-0580
(866) 610-0580
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
104100000X
Social Worker
—
—
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
02/16/2009
Last updated
11/22/2016
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