MEDICARE: ALLISON JOY BLODGETT BCBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	222Q00000X	Developmental Therapist
2	104100000X	Social Worker
3	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1265671135
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON JOY BLODGETT BCBA

Provider Business Mailing Address
First Line	:	175 MIDDLE ST
Second Line	:	SUITE 1201
City	:	LAKE MARY
State	:	FL
Zip	:	32746-3625
Country	:	US
Telephone Number	:	866-610-0580
Fax Number	:	866-610-0580

Provider Business Practice Location Address
First Line	:	515 PALM COAST PKWY SW
Second Line	:	SUITE 6
City	:	PALM COAST
State	:	FL
Zip	:	32137-4739
Country	:	US
Telephone Number	:	386-951-3044
Fax Number	:	866-610-0580

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/16/2009
Last Update Date	:	11/22/2016

Similar Medicare Providers

1942097753 — DIAMOND SOUVENIR
Practice Location Address:

515 PALM COAST PKWY SW STE 6/7
PALM COAST, FL
32137-4739

Practice Phone: 386-951-3044
Practice Fax:

1801223169 — THOMAS A ALTRO BCBA
Practice Location Address:

515 PALM COAST PKWY SW , SUITE 6/7
PALM COAST, FL
32137-4739

Practice Phone: 386-951-3044
Practice Fax: 866-610-0580

1053729889 — MR. TAYLOR BROOKS DOUGLAS RBT
Practice Location Address:

515 PALM COAST PKWY SW , SUITE 6/7
PALM COAST, FL
32137-4739

Practice Phone: 386-951-3044
Practice Fax: 866-610-0580

1497123897 — FLORIDA AUTISM CENTER
Practice Location Address:

515 PALM COAST PKWY SW
PALM COAST, FL
32137-4739

Practice Phone: 386-951-3044
Practice Fax:

1073056768 — RACHEL ROWLAND
Practice Location Address:

515 PALM COAST PKWY SW
PALM COAST, FL
32137-4739

Practice Phone: 386-267-3161
Practice Fax:

1336683630 — BRYAN PERRY
Practice Location Address:

515 PALM COAST PKWY SW STE 6/7
PALM COAST, FL
32137-4739

Practice Phone: 386-951-3044
Practice Fax:

Directions to “ ALLISON JOY BLODGETT BCBA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.