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NPI Code Detail

MEDICARE: ABC BEHAVIORAL HEALTH LLC

MEDICARE: ABC BEHAVIORAL HEALTH LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1760310981
Entity Type Code : Organization
Provider Name (Legal Business Name) : ABC BEHAVIORAL HEALTH LLC
Provider Business Mailing Address
First Line : 7661 CONSTELLATION ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-4700
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7661 CONSTELLATION ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-4700
Country : US
Telephone Number : 702-660-5052
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ALEC HILARIO BUSTOS
Credential : LCSW
Telephone Number : 702-660-5052
Provider Enumeration Date : 05/09/2026
Last Update Date : 05/09/2026

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Directions to “ABC BEHAVIORAL HEALTH LLC ” Practice Location

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