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NPI Code Detail

MEDICARE: ANA BELTRAN PANTOJA BCABA, LABA

MEDICARE: ANA BELTRAN PANTOJA BCABA, LABA
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
1106E00000XAssistant Behavior AnalystLABA433NV

General Provider Information

NPI Number : 1174065528
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANA BELTRAN PANTOJA BCABA, LABA
Provider Business Mailing Address
First Line : 3850 W ANN RD STE 110
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89031-4407
Country : US
Telephone Number : 702-323-6555
Fax Number : 818-499-0994
Provider Business Practice Location Address
First Line : 3850 W ANN RD STE 110
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89031-4407
Country : US
Telephone Number : 702-323-6555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2016
Last Update Date : 07/31/2025

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