KIMBERLY JEAN BLOODSWORTH
NPI 1720516404
Behavior Analyst in Berlin, MD

Q: What is Kimberly Bloodsworth's NPI number?

The NPI number for Kimberly Bloodsworth is 1720516404. It was assigned to this individual provider in the NPPES registry on May 25, 2017.

Q: What is Kimberly Bloodsworth's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Active since May 25, 2017

10514 RACETRACK RD STE G, BERLIN, MD 21811(410) 973-2371 Get Directions Write a Review

NPPES record last updated: November 1, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 1, 2017, May 25, 2017 (2 updates tracked since 2017).

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About Kimberly Jean Bloodsworth NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY JEAN BLOODSWORTH (NPI 1720516404) is an individual behavior analyst provider in Berlin, Maryland, licensed in Maryland (LBA358) and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1720516404

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameKIMBERLY JEAN BLOODSWORTH

Location Address10514 RACETRACK RD STE GBerlin, MD 21811-3241

Mailing Address10514 Racetrack Rd Ste GBerlin, MD 21811-3241 · (410) 973-2301

Phone(410) 973-2371

Sole ProprietorNo

Enumeration DateMay 25, 2017

Last NPPES UpdateNovember 1, 20172 updates tracked since enumeration

✔ NPI 1720516404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in MD · LBA358

Definition

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Also ListedBehavior TechnicianTaxonomy 106S00000X

10514 RACETRACK RD STE G, Berlin, MD 21811

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Other Identifiers 1

Medicaid483106300MD

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAY CHARLES LOCKAMY JR.

Behavior Technician