Provider Demographics
NPI:1548809338
Name:BELTRAN, ABEL JR (QMHA)
Entity type:Individual
Prefix:MR
First Name:ABEL
Middle Name:
Last Name:BELTRAN
Suffix:JR
Gender:M
Credentials:QMHA
Other - Prefix:MR
Other - First Name:ABEL
Other - Middle Name:
Other - Last Name:BELTRAN
Other - Suffix:JR
Other - Last Name Type:Professional Name
Other - Credentials:QMHA
Mailing Address - Street 1:2405 PADDOCK LN
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89156-4976
Mailing Address - Country:US
Mailing Address - Phone:562-706-8138
Mailing Address - Fax:
Practice Address - Street 1:1735 N NELLIS BLVD STE A
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89115-3670
Practice Address - Country:US
Practice Address - Phone:702-459-7500
Practice Address - Fax:702-476-2028
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-27
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty