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NPI Code Detail

MEDICARE: MR. ABEL BELTRAN JR. QMHA

MEDICARE: MR. ABEL BELTRAN JR. QMHA
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
1106S00000XBehavior Technician
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1548809338
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ABEL BELTRAN JR. QMHA
Provider Business Mailing Address
First Line : 2405 PADDOCK LN
Second Line :
City : LAS VEGAS
State : NV
Zip : 89156-4976
Country : US
Telephone Number : 562-706-8138
Fax Number :
Provider Business Practice Location Address
First Line : 1735 N NELLIS BLVD STE A
Second Line :
City : LAS VEGAS
State : NV
Zip : 89115-3670
Country : US
Telephone Number : 702-459-7500
Fax Number : 702-476-2028
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2019
Last Update Date : 03/15/2022

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