Individual
PATRICK R BLEVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
2300 MENAUL BLVD NE, ALBUQUERQUE, NM 87107-1851
(505) 272-2611
Mailing address
1713 CALLE LOS VECINOS NW, ALBUQUERQUE, NM 87107-2803
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-19141
NM
Other
Enumeration date
08/23/2010
Last updated
08/11/2021
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