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NPI Code Detail

MEDICARE: LUIS ARMANDO CRESPO BAUTISTA

MEDICARE:   LUIS ARMANDO CRESPO BAUTISTA
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 Analyst

General Provider Information

NPI Number : 1881536605
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUIS ARMANDO CRESPO BAUTISTA
Provider Business Mailing Address
First Line : 4111 WESTCITY CT # N279
Second Line :
City : EL PASO
State : TX
Zip : 79902-1647
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4111 WESTCITY CT
Second Line :
City : EL PASO
State : TX
Zip : 79902-1647
Country : US
Telephone Number : 915-206-0423
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2026
Last Update Date : 04/09/2026

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Directions to “ LUIS ARMANDO CRESPO BAUTISTA ” Practice Location

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