Individual
CAANEN CLEGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1205 PONCE DE LEON AVE, LAS VEGAS, NV 89123-1460
(725) 218-9736
Mailing address
1205 PONCE DE LEON AVE, LAS VEGAS, NV 89123-1460
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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