Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720516404 Individual Practitioner Female Practitioner

Kimberly Jean Bloodsworth

Behavior Analyst • Berlin, MD

Professional Overview & Biography Verified Profile Summary

Kimberly Bloodsworth is a registered healthcare professional specializing in Behavior Analyst in Berlin, MD. Practice services are available at 10514 RACETRACK RD STE G under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10514 Racetrack Rd Ste G

Berlin, MD 218113241

Telephone 4109732371

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Berlin, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.0 Yrs
Regional Practice Density
12 Specialists

Practicing in Berlin, MD (1558 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License MD LBA358

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.

Behavior Technician

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
483106300 (MD)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Deidre Horsey

Behavior Technician

NPI 1144738873
Nicole White

Behavior Technician

NPI 1265932552
Thomas Ballard

Behavior Technician

NPI 1306374095
Joseph Dickson

Behavior Technician

NPI 1336677020
Teresa Alison

Behavior Technician

NPI 1346779659
Kamiya Harris

Behavior Technician

NPI 1356815047

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active November 01, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 01, 2017

Registered at 10514 RACETRACK RD STE G, BERLIN, MD 218113241 (Tel: 4109732371)

📍
Updated Business Mailing Address November 01, 2017

Registered at 10514 RACETRACK RD STE G, BERLIN, MD 218113241 (Tel: 4109732301)

👤
Provider Name / Credentials Updated November 01, 2017

Recorded as KIMBERLY BLOODSWORTH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2017

Behavior Analyst (License #LBA358 in MD)

NPI Profile Active May 25, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 25, 2017

Registered at 10514 RACETRACK RD STE G, BERLIN, MD 218113241 (Tel: 4109732371)

📍
Updated Business Mailing Address May 25, 2017

Registered at 10514 RACETRACK RD STE G, BERLIN, MD 218113241 (Tel: 4109732301)

👤
Provider Name / Credentials Updated May 25, 2017

Recorded as KIMBERLY BLOODSWORTH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 25, 2017

Behavior Technician

🟢
Initial NPI Registration & Enumeration May 25, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720516404
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 25, 2017
Last Update: November 01, 2017
Sole Proprietor: No

Mailing Address

10514 Racetrack Rd Ste G

Berlin, MD 218113241

Phone: 4109732301

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.