Christopher William Blydenburgh
Behavior Technician in Hernando, FL. Individual provider (NPI-1).
NPI number1306483409
StatusActive
Last updated in NPPESDec 8, 2019
Details
- NPI
- 1306483409
- Entity type
- Individual (NPI-1)
- Name
- Mr. Christopher William Blydenburgh
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 8, 2019
- Certification date
- Dec 8, 2019
- Last updated
- Dec 8, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2535 E Marco Ct # 11Hernando, FL 34442-2962
Phone 352-270-5003
Mailing address
2535 E Marco Ct # 11Hernando, FL 34442-2962
Phone 352-270-5003
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Behavior Technician providers in Hernando, FL
- Angeline DennisonNPI 1720829815
- Sabrina HensleyNPI 1962918045
- Lauren Kim MillerNPI 1871062604
- Madison Taylor SchiresNPI 1467289488
All 5 Behavior Technician providers in Hernando · All 156 providers in Hernando
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