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Deactivated NPI 1912695693 Deactivated / Inactive NPI Male Practitioner

David Blake

Behavior Technician • Basehor, KS

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, David Blake has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 01, 2023
NPI Deactivation Date April 10, 2025
Total Practice Duration ~2 Years of Practice (2023 – 2025)

Professional Overview & Biography Verified Profile Summary

David Blake was a registered Behavior Technician practicing in Basehor, KS. Throughout an active medical career spanning 2 years, David Blake provided care at the practice location at 1106 N 155TH ST STE B until profile deactivation on 2025-04-10.

Practice Location & Contact Primary Location

Practice Address

1106 N 155th St Ste B

Basehor, KS 660077100

Telephone 8167188389
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Basehor, KS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 5.0 Yrs
Regional Practice Density
231 Specialists

Practicing in Basehor, KS (3817 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 Technician Primary Specialty

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Halle Panter

Behavior Technician

NPI 1013694553
Cameron Durbin

Behavior Technician

NPI 1023877552
Alaina Higgins

Behavior Technician

NPI 1033961388
Meaghan Lindsey

Behavior Technician

NPI 1083391510
Evelyn Hughes

Behavior Technician

NPI 1124846746
Rowena Nimo

Behavior Technician

NPI 1134905425

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated April 10, 2025

Record deactivated on April 10, 2025

NPI Profile Active May 01, 2023

NPI status registered as active in NPPES database

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Updated Practice Location May 01, 2023

Registered at 1106 N 155TH ST STE B, BASEHOR, KS 660077100 (Tel: 8167188389)

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Updated Business Mailing Address May 01, 2023

Registered at 1106 N 155TH ST STE B, BASEHOR, KS 660077100 (Tel: 8167188389)

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Provider Name / Credentials Updated May 01, 2023

Recorded as DAVID BLAKE

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2023

Behavior Technician

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Initial NPI Registration & Enumeration May 01, 2023

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: 1912695693
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 01, 2023
Last Update: May 01, 2023
Deactivation Date: April 10, 2025

Mailing Address

1106 N 155th St Ste B

Basehor, KS 660077100

Phone: 8167188389

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.