Individual provider Active NPI

Peter Lazare Debassige

  • Behavior Technician
  • Albuquerque, NM
National Provider Identifier
1124991625
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
7404 Georgetown Ave NW
Albuquerque, NM 87120-1628
Phone
(505) 903-2188
NPI assigned
Sep 29, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

7404 Georgetown Ave NW
Albuquerque, NM 87120-1628

Mailing address

7404 Georgetown Ave NW
Albuquerque, NM 87120-1628
Phone (505) 903-2188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1759104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1124991625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7404 GEORGETOWN AVE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201628",
            "telephone_number": "505-903-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7404 GEORGETOWN AVE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201628",
            "telephone_number": "505-903-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBASSIGE",
        "first_name": "PETER",
        "middle_name": "LAZARE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-29",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.