Actus Behavioral Support LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ACTUS BEHAVIORAL SUPPORT LLC

Practice address

6213 Smithwick Dr
McKinney, TX 75070-3573

Phone

(919) 637-0406

NPI assigned

Oct 13, 2020

Last updated

Oct 13, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Femi Popoola

Title

Member

Phone

(919) 637-0406

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602547200000",
    "number": "1881292738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6213 SMITHWICK DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750703573",
            "telephone_number": "919-637-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6213 SMITHWICK DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750703573",
            "telephone_number": "919-637-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTUS BEHAVIORAL SUPPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A",
        "authorized_official_last_name": "POPOOLA",
        "authorized_official_first_name": "FEMI",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "919-637-0406",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.