MEDICARE: MARGARET JOLEA BLACKWELDER

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	1-20-40794	NC
2	106S00000X	Behavior Technician	RBT-16-26236	NC

General Provider Information

NPI Number	:	1942799812
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET JOLEA BLACKWELDER

Provider Business Mailing Address
First Line	:	300 INTERNATIONAL PKWY STE 200
Second Line	:
City	:	LAKE MARY
State	:	FL
Zip	:	32746-5028
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2407 PLANTATION CENTER DR STE 100
Second Line	:
City	:	MATTHEWS
State	:	NC
Zip	:	28105-5418
Country	:	US
Telephone Number	:	704-448-9819
Fax Number	:

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

Provider Enumeration Date	:	05/07/2018
Last Update Date	:	12/18/2025

Similar Medicare Providers

1962032508 — ANGEL MACK
Practice Location Address:

2407 PLANTATION CENTER DR
MATTHEWS, NC
28105-5418

Practice Phone: 704-448-9819
Practice Fax: 704-270-8840

1699356592 — TYKEEM POE RBT
Practice Location Address:

2407 PLANTATION CENTER DR
MATTHEWS, NC
28105-5418

Practice Phone: 704-780-4271
Practice Fax: 888-261-6694

1285351999 — SARAH HICKS
Practice Location Address:

2407 PLANTATION CENTER DR STE 100
MATTHEWS, NC
28105-5418

Practice Phone: 704-448-9819
Practice Fax: 704-270-8840

1508578196 — ABIGAIL ELISE DEATON
Practice Location Address:

2407 PLANTATION CENTER DR STE 100
MATTHEWS, NC
28105-5418

Practice Phone: 984-275-3054
Practice Fax:

1164128518 — JOSIE MILLER BCBA
Practice Location Address:

2407 PLANTATION CENTER DR
MATTHEWS, NC
28105-5418

Practice Phone: 407-448-9819
Practice Fax:

1336849579 — FLORIDA AUTISM CENTER
Practice Location Address:

2407 PLANTATION CENTER DR
MATTHEWS, NC
28105-5418

Practice Phone: 704-448-9819
Practice Fax:

Directions to “ MARGARET JOLEA BLACKWELDER ” 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 © 2007-2025 (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.