Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ellisa M Blodgett

Individual provider Behavior Technician · NPI 1194510651

Ellisa M Blodgett is a Behavior Technician in San Diego, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

2820 Camino Del Rio S Ste 100
San Diego, CA 92108-3822
Phone: (858) 264-5858
Fax: (858) 649-6012
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 25-428246 (CA)

Record details

NPI number1194510651
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 14, 2025
Last updated in NPPESApril 14, 2025
Certification dateApril 14, 2025

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