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

Kelly Blaylock

Individual provider Behavior Technician · NPI 1992698542

Kelly Blaylock is a Behavior Technician in Lake Mary, Florida. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

300 International Pkwy Ste 200
Lake Mary, FL 32746-5028
Phone: (866) 610-0580
Fax: (866) 611-1558
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1992698542
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 2, 2025
Last updated in NPPESJune 2, 2025
Certification dateJune 2, 2025
Mailing address300 International Pkwy Ste 200, Lake Mary, FL 32746-5028

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