Individual
TRAVIS SCOTT BLEVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
1200 W SOUTH BOULDER RD, STE. 204, LAFAYETTE, CO 80026-3546
(720) 837-2348
Mailing address
PO BOX 271690, LOUISVILLE, CO 80027-5035
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-05-2144
CO
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
Other
Enumeration date
12/04/2007
Last updated
01/18/2017
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