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

Individual provider Behavior Technician · NPI 1508471400

Martha Lauren Blaides, BSW is a Behavior Technician in Fayetteville, Georgia. Licensed in Indiana. Registered with an NPI since 2020.

Licensed in
IN
In the registry since
2020
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Practice location Address checks out

126 Pavilion Pkwy
Fayetteville, GA 30214-4056
Phone: (770) 954-8988
Fax: (317) 520-8200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-20-130941 (IN)

Record details

NPI number1508471400
Entity typeIndividual (Type 1)
GenderFemale
Credentials BSW
Sole proprietorNo
NPI enumeratedSeptember 9, 2020
Last updated in NPPESSeptember 9, 2020
Certification dateSeptember 9, 2020

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