IndividualActive
Kelly Blaylock
NPI 1992698542 · Behavior Technician · Lake Mary, FL
Kelly Blaylock is a Behavior Technician provider in Lake Mary, FL (NPI 1992698542).
Provider details
- NPI number
- 1992698542
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Practice location
300 International Pkwy Ste 200
Lake Mary, FL 32746-5028
Phone: (866) 610-0580
Fax: (866) 611-1558
Street-level locationGet directions
Mailing address
300 International Pkwy Ste 200
Lake Mary, FL 32746-5028
Registry dates
- Enumerated
- 2025-06-02
- Last updated
- 2025-06-02
- Certified
- 2025-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.