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Deactivated NPI 1083920417 Deactivated / Inactive NPI Male Practitioner

Patrick R Blevins , BCBA

Behavior Analyst • Albuquerque, NM

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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, Patrick Blevins has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 23, 2010
NPI Deactivation Date April 20, 2015
Total Practice Duration ~5 Years of Practice (2010 – 2015)

Professional Overview & Biography Verified Profile Summary

Patrick Blevins, BCBA was a registered Behavior Analyst practicing in Albuquerque, NM. Throughout an active medical career spanning 5 years, Patrick Blevins provided care at the practice location at 2300 MENAUL BLVD NE until profile deactivation on 2015-04-20.

Practice Location & Contact Primary Location

Practice Address

2300 Menaul Blvd Ne

Albuquerque, NM 871071851

Telephone 5052722611
Associated Practice Facility / Clinic
🏢 Unm Focus Program Facility NPI 1558411769

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Albuquerque, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.0 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
617 Specialists

Practicing in Albuquerque, NM (1023 Statewide)

Telehealth Adoption Rate
0.2% 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

CMS Verified: 2021-08-11
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License NM 1-15-19141

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.

Secondary Practice Locations

1713 Calle Los Vecinos Nw

Albuquerque, NM 871072803

Phone: 5052069646

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1013607910

Doctor of Philosophy (Ph.D.)

Allan Anfinson

Pediatrics - Developmental - Behavioral Pediatrics

NPI 1023285673
Thomas Boxall , MS, CCC-SLP

Speech-Language Pathologist

NPI 1083094114

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Joe Debonis , LPCC

Counselor - Mental Health

NPI 1104066950

Licensed Professional Clinical Counselor

Kristine Domino

Speech-Language Pathologist

NPI 1124125893
Mirna Nunez , APRN

Nurse Practitioner - Family

NPI 1134909724

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

10 Historical Events
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Updated Practice Location August 11, 2021

Registered at 2300 MENAUL BLVD NE, ALBUQUERQUE, NM 871071851 (Tel: 5052722611)

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Provider Name / Credentials Updated August 11, 2021

Recorded as PATRICK BLEVINS, BCBA

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2021

Behavior Analyst (License #1-15-19141 in NM)

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NPI Profile Reactivated March 29, 2016

Record officially reactivated for active practice on March 29, 2016

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Updated Practice Location March 29, 2016

Registered at 1713 CALLE LOS VECINOS NW, ALBUQUERQUE, NM 871072803 (Tel: 5052069646)

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Updated Business Mailing Address March 29, 2016

Registered at 1713 CALLE LOS VECINOS NW, ALBUQUERQUE, NM 871072803

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Provider Name / Credentials Updated March 29, 2016

Recorded as PATRICK BLEVINS

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2016

Behavior Analyst

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NPI Profile Deactivated April 20, 2015

Record deactivated on April 20, 2015

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Initial NPI Registration & Enumeration August 23, 2010

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: 1083920417
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 23, 2010
Last Update: August 11, 2021
Deactivation Date: April 20, 2015
Sole Proprietor: Yes

Mailing Address

1713 Calle Los Vecinos Nw

Albuquerque, NM 871072803

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.