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Dr. Elbert Q Blakely , BCBA-D

Behavior Analyst β€’ Orlando, FL

Active NPI 1699226597 Individual Practitioner Male Practitioner
Practice location in NPPES

500 E Colonial Dr
Orlando, FL 328034504

Call 4072184340 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

500 E Colonial Dr

Orlando, FL 328034504

Telephone 4072184340
Fax 4072184303
Organization at the Same NPPES Address or Phone
Life Concepts Inc Facility NPI 1790824407

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Orlando and Florida

615 active clinicians are listed under Behavior Analyst with a practice address in Orlando, FL (13,581 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Orlando

0% of these 615 clinicians have the CMS telehealth indicator.

0% of these 615 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-10-13
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES FL 1-01-0541

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
019523800 (FL)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
πŸ“
Updated Business Mailing Address October 13, 2020

Registered at 1295 RICHMOND RD, WINTER PARK, FL 327895058 (Tel: 4076290165)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2018

Behavior Analyst (license number reported to NPPES: FL 1-01-0541)

βœ…
NPI Profile Active October 31, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location October 31, 2017

Registered at 500 E COLONIAL DR, ORLANDO, FL 328034504 (Tel: 4072184340)

πŸ“
Updated Business Mailing Address October 31, 2017

Registered at 500 E COLONIAL DR, ORLANDO, FL 328034504 (Tel: 4072184340)

πŸ‘€
Provider Name / Credentials Updated October 31, 2017

Recorded as ELBERT BLAKELY, BCBA-D

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 31, 2017

Behavior Analyst (license number reported to NPPES: CO 1-01-0541)

βœ…
NPI Profile Active October 17, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 17, 2016

Registered at 500 E COLONIAL DR, ORLANDO, FL 328034504 (Tel: 4072184340)

πŸ“
Business Mailing Address (Initial Record) October 17, 2016

Registered at 500 E COLONIAL DR, ORLANDO, FL 328034504 (Tel: 4072184340)

πŸ‘€
Provider Name / Credentials (Initial Record) October 17, 2016

Recorded as ELBERT BLAKELY, BCBA-D

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2016

Behavior Analyst (license number reported to NPPES: CO 1-01-0541)

🟒
Initial NPI Registration & Enumeration October 17, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1699226597
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 17, 2016
Last Update: October 13, 2020
Sole Proprietor: No

Mailing Address

1295 Richmond Rd

Winter Park, FL 327895058

Phone: 4076290165

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.