Individual
DEVAN FARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
44711 CEDAR AVE, LANCASTER, CA 93534-3216
(661) 948-4661
Mailing address
1522 WINDERMERE CT, PALMDALE, CA 93551-4055
(661) 478-9682
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
225400000X
Rehabilitation Practitioner
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
CA
373H00000X
Day Training/Habilitation Specialist
Primary
—
CA
Other
Enumeration date
06/21/2019
Last updated
05/12/2026
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